| Organization Name: | BOARD OF DIRECTORS OF THE ROUSE ESTATE |
| NPI Number: | 1578568135 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASEN J. DILEY (CEO) |
| Mailing Address: | 701 Rouse Ave Youngsville |
| State: | PA US |
| Postal Code: | 163711605 |
| Phone Number: | 8145637565 |
| Fax Number: | 8145639049 |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 181702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |