Organization · Type 2 NPI
1
Pediatric Skilled Nursing Facility · Mountain Top, PA
NPI number
1104246222
Active
Practice location
14 Basswood Dr
Mountain Top, PA 18707-1824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | RN586725 (PA) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1104246222
1's National Provider Identifier is 1104246222, issued on Apr 16, 2014. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Mountain Top, PA. The record was last updated on Apr 16, 2014.