Organization
HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR
Active
Other names
Holy Family Residence
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PATRICIA MISTRETTA LSP (ADMINISTRATOR)
(570) 343-4065
Entity
Organization
Contact information
Practice address
2500 ADAMS AVE, SCRANTON, PA 18509-1515
(570) 343-4065
(570) 343-8913
Mailing address
2500 ADAMS AVE, SCRANTON, PA 18509-1515
(570) 343-4065
(570) 343-8913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
860302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007509960001
—
PA
Enumeration date
07/11/2005
Last updated
11/13/2009
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