Organization
UMH PA CORP.
Active
Other names
Wesley Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PICCHINI CPA (PRESIDENT & CEO)
(607) 775-6400
Entity
Organization
Contact information
Practice address
209 ROBERTS RD, PITTSTON, PA 18640-3111
(570) 655-2891
(570) 655-3383
Mailing address
209 ROBERTS RD, PITTSTON, PA 18640-3111
(570) 655-2891
(570) 655-3383
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
750702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007506640002
—
PA
05
—
0071963300002
—
PA
Enumeration date
06/29/2006
Last updated
08/19/2015
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