Organization · Type 2 NPI

1000 Stacie Drive Opco LLC

Skilled Nursing Facility · Hazleton, PA

NPI number 1174331029 Active

Practice location

1000 Stacie Dr
Hazleton, PA 18201-5690

Call (570) 453-5100 Map

Fax (570) 453-5106

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1174331029

1000 Stacie Drive Opco LLC's National Provider Identifier is 1174331029, issued on Dec 24, 2024. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Hazleton, PA. The record was last updated on Mar 10, 2025.