Organization
GUARDIAN ELDER CARE AT MOUNTAIN TOP I LLC
Active
Other names
Mountain Top Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EPERESI (CFO)
(814) 265-1164
Entity
Organization
Contact information
Practice address
185 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1921
(570) 474-6377
Mailing address
8796 ROUTE 219, BROCKWAY, PA 15824-6010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102455835-0001
—
PA
Enumeration date
04/13/2010
Last updated
08/25/2020
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