Organization
POST ACUTE MEDICAL AT NANTICOKE LLC
Active
Other names
PAM Specialty Hospital of Wilkes-Barre
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY F MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
575 N RIVER ST, 7TH FLOOR, WILKES BARRE, PA 18764-2634
(570) 208-3310
Mailing address
1828 GOOD HOPE RD, SUITE 102, ENOLA, PA 17025-1233
(717) 731-9660
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103067848-0002
—
PA
Enumeration date
07/22/2014
Last updated
08/03/2023
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