Organization Name: | NORTHUMBERLAND COUNTY MOUNTAIN VIEW MANOR NURSING & REHAB CENTER |
NPI Number: | 1447245337 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ANN M CHAKLOS (ADMINISTRATOR) |
Mailing Address: | 2050 Trevorton Rd Coal Township |
State: | PA US |
Postal Code: | 178669405 |
Phone Number: | 5706444400 |
Fax Number: | 5706444403 |
NPI Enumeration Date: | 09/16/2005 |
NPI Last Update Date: | 04/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |