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

TaxonomyCodeLicense
Pediatric Skilled Nursing Facility Primary 3140N1450XRN586725 (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.