Organization
HAMPTON HOUSE-WILKES-BARRE PA, LLC
Active
Other names
Hampton House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
1548 SANS SOUCI PKWY, HANOVER TOWNSHIP, PA 18706-6028
(570) 825-8725
(570) 825-4319
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020573730001
—
PA
Enumeration date
05/24/2006
Last updated
05/08/2017
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