Organization
MANOR CARE OF WILLIAMSPORT PA (SOUTH) LLC
Active
Other names
ManorCare Health Services - Williamsport South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
101 LEADER DR, WILLIAMSPORT, PA 17701-1942
(570) 323-3758
(570) 323-9228
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
641502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020618860001
—
PA
Enumeration date
06/05/2006
Last updated
05/09/2017
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