Organization
ASBURY ATLANTIC, INC.
Active
Other names
Epworth Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRA L. ISENBERG I RHIT (HEALTH INFORMATION TECHNICIAN)
(814) 684-0320
Entity
Organization
Contact information
Practice address
951 WASHINGTON AVE, 925 S. LINCOLN AVENUE, TYRONE, PA 16686-1426
(814) 684-0320
(814) 684-0902
Mailing address
951 WASHINGTON AVE, 925 S. LINCOLN AVENUE, TYRONE, PA 16686-1426
(814) 684-0320
(814) 684-0902
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
314470
PA
314000000X
Skilled Nursing Facility
050802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017505810001
—
PA
Enumeration date
10/18/2005
Last updated
09/11/2025
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