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Organization

ROLLS PERSONAL CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARISSA LYN ROLL (OWNER/OPERATOR)
(724) 952-1013
Entity
Organization

Contact information

Practice address
47 RIVER AVE, MASONTOWN, PA 15461-1963
(724) 952-1013
(724) 952-1020
Mailing address
PO BOX 632, MASONTOWN, PA 15461-0632

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
437181
PA

Other

Enumeration date
07/16/2008
Last updated
07/16/2008
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