Organization
AL BLOOMSBURG OPERATIONS LLC
Active
Other names
Balanced Care Bloomsburg
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PATRICK MULLOY II (PRESIDENT)
(502) 753-6000
Entity
Organization
Contact information
Practice address
3298 RIDGE RD, BLOOMSBURG, PA 17815-7932
(570) 784-6688
(570) 389-9081
Mailing address
9510 ORMSBY STATION ROAD, SUITE 101 SENIOR CARE INC, LOUISVILLE, KY 40223
(502) 753-6000
(502) 753-6100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016927160003
—
PA
Enumeration date
10/26/2005
Last updated
08/22/2020
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