Organization
SUSQUEHANNA VILLAGE FACILITY OPERATIONS, LLC
Active
Other names
Manor at Susquehanna Village
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (AUTHORIZED OFFICIAL)
(407) 571-1550
Entity
Organization
Contact information
Practice address
990 MEDICAL RD, MILLERSBURG, PA 17061-1235
(717) 692-4751
(717) 692-4588
Mailing address
800 CONCOURSE PKWY S, SUITE 200, MAITLAND, FL 32751-6148
(407) 571-1550
(407) 571-1599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018126480001
—
PA
Enumeration date
07/27/2006
Last updated
07/07/2017
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