Individual provider · Type 1 NPI
Stephen Rodrigues, PRESIDENT/CEO
Assisted Living Facility · Nanty Glo, PA
NPI number
1184396137
Active
Practice location
1075 Chestnut St
Nanty Glo, PA 15943-1209
Fax (814) 749-8799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | None listed |
| Assisted Living Facility Primary | 310400000X | 327360 (PA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1184396137
Stephen Rodrigues, PRESIDENT/CEO's National Provider Identifier is 1184396137, issued on Sep 29, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Nanty Glo, PA. The record was last updated on Oct 11, 2026.