Organization
LTC ASSOCIATES
Active
Other names
Forest City Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL ROTHERFORTH NHA (ADMINISTRATOR)
(570) 785-3005
Entity
Organization
Contact information
Practice address
915 DELAWARE ST, FOREST CITY, PA 18421-1005
(570) 785-3005
(570) 785-9559
Mailing address
915 DELAWARE ST, FOREST CITY, PA 18421-1005
(570) 785-3005
(570) 785-9559
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008840040002
—
PA
Enumeration date
09/30/2005
Last updated
02/24/2009
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