Organization
BOARD OF DIRECTORS OF THE ROUSE ESTATE
Active
Other names
The Rouse Estate
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASEN J. DILEY (CEO)
(814) 563-6403
Entity
Organization
Contact information
Practice address
701 ROUSE AVE, YOUNGSVILLE, PA 16371-1605
(814) 563-7565
(814) 563-9049
Mailing address
701 ROUSE AVE, YOUNGSVILLE, PA 16371-1605
(814) 563-7565
(814) 563-9049
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
181702
PA
314000000X
Skilled Nursing Facility
Primary
181702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0360560001
NSC#
PA
05
—
1001382300004
—
PA
Enumeration date
06/20/2005
Last updated
06/06/2013
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