Organization
51 ROUTE 204 OPCO LLC
Active
Other names
The Manor at Penn Village
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HOBACK (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
51 ROUTE 204, SELINSGROVE, PA 17870-8066
(570) 374-8181
(570) 372-2398
Mailing address
51 ROUTE 204, SELINSGROVE, PA 17870-8066
(570) 374-8181
(570) 372-2398
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
04/28/2025
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