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Organization

LTC ASSOCIATES LLC

Active
Other names
Forest City Nursing and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
DREW SPARKS (CHIEF FINANCIAL OFFICER)
(570) 785-3005
Entity
Organization

Contact information

Practice address
915 DELAWARE ST, FOREST CITY, PA 18421-1005
(570) 785-3005
(570) 785-3005
Mailing address
915 DELAWARE ST, FOREST CITY, PA 18421-1005
(570) 785-3005
(570) 785-3005

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061202
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39-5554
PA
Enumeration date
07/02/2008
Last updated
02/24/2009
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