Organization
KINKORA PYTHIAN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCH A. HIMMELBERGER NHA, MSW,BA (EXECUTIVE DIRECTOR)
(717) 834-4887
Entity
Organization
Contact information
Practice address
25 COVE RD, DUNCANNON, PA 17020-9514
(717) 834-4887
(717) 834-6622
Mailing address
25 COVE RD, DUNCANNON, PA 17020-9514
(717) 834-4887
(717) 834-6622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007575300001
—
PA
Enumeration date
07/13/2005
Last updated
09/30/2010
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