Organization
JUNIPER VILLAGE AT STATE COLLEGE OPERATIONS II LLC
Active
Other names
Juniper Village at Brookline-Rehabilitation and Skilled Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA C DONATO (VP OF MEMBER, JUNIPER PARTNERS LLC)
(973) 661-8300
Entity
Organization
Contact information
Practice address
1950 CLIFFSIDE DR, STATE COLLEGE, PA 16801-7662
(814) 235-2074
(814) 235-2074
Mailing address
400 BROADACRES DR, BLOOMFIELD, NJ 07003-3156
(973) 661-8300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
281302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1461
BLUE SHIELD
PA
01
—
232431939
MEDICARE SUPPLEMENTS
PA
01
—
395756
CAPITAL BLUE CROSS
PA
Enumeration date
07/29/2005
Last updated
09/11/2014
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