Organization
JHA MARKLEYSBURG INC
Active
Other names
Henry Clay Villa
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization
Contact information
Practice address
5253 NATIONAL PIKE, MARKLEYSBURG, PA 15459-1025
(724) 329-5545
(724) 329-1068
Mailing address
5253 NATIONAL PIKE, MARKLEYSBURG, PA 15459-1025
(724) 329-5545
(724) 329-1068
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
060602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696395
—
PA
Enumeration date
08/31/2005
Last updated
09/24/2007
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