Organization
477 HOLDINGS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SEAN BUCKMAN (MEMBER)
(954) 616-7215
Entity
Organization
Contact information
Practice address
477 BONNIEVILLE RD., STILLWATER, PA 17878
(570) 864-3174
Mailing address
10 HART PLACE, CARBONDALE, PA 18407
(954) 616-7215
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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