Organization
VALLEY CREST NURSING HOME (LUZERNE COUNTY)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MILLER NHA (ADMINISTRATOR)
(570) 826-1011
Entity
Organization
Contact information
Practice address
1551 E END BLVD, WILKES BARRE, PA 18711-0576
(570) 826-1011
(570) 825-1211
Mailing address
1551 E END BLVD, WILKES BARRE, PA 18711-0576
(570) 826-1011
(570) 825-1211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0752275
—
PA
Enumeration date
11/04/2005
Last updated
08/22/2020
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