Organization
SMNRC, LP
Active
Other names
SHENANDOAH MANOR NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W KLINGERMAN (PRESIDENT)
(570) 784-0111
Entity
Organization
Contact information
Practice address
101 E WASHINGTON ST, SHENANDOAH, PA 17976-1701
(570) 462-1908
(570) 462-1457
Mailing address
101 E WASHINGTON ST, SHENANDOAH, PA 17976-1701
(570) 462-1908
(570) 462-1457
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
190102
PA
Other
Enumeration date
06/01/2005
Last updated
09/07/2011
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