Organization
THE VILLA ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M KASTELIC M.D. (MEMBER/OWNER)
(814) 254-4514
Entity
Organization
Contact information
Practice address
322 WARREN ST, SUITE 300, JOHNSTOWN, PA 15905-3443
(814) 288-1418
(814) 288-1525
Mailing address
429 NAPOLEON PL, JOHNSTOWN, PA 15901-2504
(814) 254-4514
(814) 254-4541
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
328361
PA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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