Organization
SUSQUEHANNA VALLEY NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L. DIFFENDERFER NHA (NURSING HOME ADMINISTRATOR)
(717) 684-7555
Entity
Organization
Contact information
Practice address
745 CHIQUES HILL ROAD, COLUMBIA, PA 17512-8411
(717) 684-7555
(717) 684-3677
Mailing address
745 CHIQUES HILL RD, COLUMBIA, PA 17512-8411
(717) 684-7555
(717) 684-3677
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
084802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011465300001
—
PA
05
—
11011465300001
—
PA
Enumeration date
03/23/2006
Last updated
08/28/2012
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