Organization
PLEASANT VALLEY MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M. POPPITI (DIRECTOR OF FINANCE)
(570) 992-4172
Entity
Organization
Contact information
Practice address
4227 MANOR DR, STROUDSBURG, PA 18360-9451
(570) 992-4172
(570) 992-0324
Mailing address
4227 MANOR DR, STROUDSBURG, PA 18360-9451
(570) 992-4172
(570) 992-0324
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
161702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008619590002
—
PA
Enumeration date
12/29/2006
Last updated
08/22/2020
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