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Organization

BROOKMONT HEALTHCARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL EPERESI (CFO)
(814) 265-1164
Entity
Organization

Contact information

Practice address
510 BROOKMONT DRIVE, EFFORT, PA 18330-9534
(610) 681-4070
Mailing address
8796 ROUTE 219, BROCKWAY, PA 15824-6010

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001975918-0001
PA
Enumeration date
08/09/2005
Last updated
08/25/2020
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