Organization
WRC HIGHLAND VIEW HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA RUSSELL (ADMINISTRATOR)
(814) 265-8265
Entity
Organization
Contact information
Practice address
90 MAIN ST, BROCKWAY, PA 15824-1038
(814) 265-8265
(814) 849-7426
Mailing address
985 ROUTE 28, BROOKVILLE, PA 15825-7213
(814) 849-1205
(814) 849-7426
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
027702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012854330002
—
PA
01
—
1043
BLUE CROSS SKILLED NURSIN
PA
Enumeration date
08/09/2005
Last updated
08/22/2020
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