Organization
EAGLE RIDGE PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY PENLAND (PRESIDENT)
(570) 367-1899
Entity
Organization
Contact information
Practice address
2997 RENOVO RD, MILL HALL, PA 17751-8537
(570) 367-1899
Mailing address
2997 RENOVO RD, MILL HALL, PA 17751-8537
(570) 367-1899
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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