| Organization Name: | PENN STATE HERSHEY REHABILITATION LLC |
| NPI Number: | 1124342696 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. TARVIN (VP OF MANAGING MEMBER) |
| Mailing Address: | 1135 Old W Chocolate Ave Hummelstown |
| State: | PA US |
| Postal Code: | 170369188 |
| Phone Number: | 7179721100 |
| Fax Number: | 7179759981 |
| NPI Enumeration Date: | 03/26/2010 |
| NPI Last Update Date: | 09/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |