Organization
OP MILLERSBURG, LLC
Active
Other names
The Manor at Susquehanna Village
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CONTE (CHIEF OPERATING OFFICER)
(407) 571-1550
Entity
Organization
Contact information
Practice address
900 MEDICAL RD, MILLERSBURG, PA 17061-1235
(717) 692-4751
(717) 692-4588
Mailing address
800 CONCOURSE PKWY S, SUITE 200, MAITLAND, FL 32751-6148
(407) 571-1550
(407) 571-1599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
451902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012273340001
—
PA
Enumeration date
06/11/2006
Last updated
08/22/2020
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