Organization
PASSAGE VILLAGE OF LAUREL RUN OPERATIONS, LLC
Active
Other names
Laurel Care Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY COTTLE (ADMINISTRATOR)
(717) 352-2721
Entity
Organization
Contact information
Practice address
6375 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8350
(717) 352-2721
(717) 352-2142
Mailing address
6375 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8350
(717) 352-2721
(717) 352-2142
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
420102
PA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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