Organization Name: | COUNTRY MANOR LIVING |
NPI Number: | 1245493816 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORIE ANN HORNICK (ADMINISTRATOR) |
Mailing Address: | 170 Phillips St Jerome |
State: | PA US |
Postal Code: | 159370430 |
Phone Number: | 8144792355 |
Fax Number: | 8144794047 |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251J00000X |
License Number: | 001320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Nursing Care |
Taxonomy Specialization: | |
Taxonomy Definition: | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |