Organization
PINEY PARTNERS LP
Active
Other names
The Village of Laurel Run
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DEAN COTTLE (CEO)
(717) 352-2721
Entity
Organization
Contact information
Practice address
6375 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8350
(717) 352-2721
(717) 352-2142
Mailing address
6375 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8350
(717) 352-2721
(717) 352-2142
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
420102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001805560-0001
—
PA
Enumeration date
08/21/2006
Last updated
07/21/2008
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