Organization
DEPARTMENT OF MILITARY COMMONWEALTH OF PENNSYLVANIA
Active
Other names
Gino J. Merli Veterans Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS REED JR. (FISCAL SERVICES ADMINISTRATOR)
(814) 242-7789
Entity
Organization
Contact information
Practice address
401 PENN AVE, SCRANTON, PA 18503
(570) 961-4353
(570) 961-4400
Mailing address
401 PENN AVENUE, SCRANTON, PA 18503
(570) 961-4353
(570) 961-4405
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
HP4183791
PA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/12/2006
Last updated
05/24/2022
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