Organization
MEDA NIPPLE CONVALESCENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN TEKLA NIPPLE (ASSISTANT ADMINISTRATOR)
(717) 463-2632
Entity
Organization
Contact information
Practice address
RR 1 BOX 109, THOMPSONTOWN, PA 17094-9722
(717) 463-2632
(775) 255-4723
Mailing address
RR 1 BOX 109, THOMPSONTOWN, PA 17094-9722
(717) 463-2632
(775) 255-4723
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007547340001
—
PA
Enumeration date
10/06/2005
Last updated
08/22/2020
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