Individual provider · Type 1 NPI
Homiler Elie Phanor
Nursing Home Administrator · Hazleton, PA
NPI number
1417655101
Active
Practice location
600 N Laurel St
Hazleton, PA 18201-4339
Fax (570) 455-7560
Mailing address
4 Fairfield Dr
Wilkes Barre, PA 18702-7311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor | 101YP1600X | None listed |
| Nursing Home Administrator Primary | 376G00000X | None listed |
| Home Modifications Contractor | 171WH0202X | None listed |
| Adult Companion | 372600000X | None listed |
| Doula | 374J00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1417655101
Homiler Elie Phanor's National Provider Identifier is 1417655101, issued on Feb 21, 2023. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Hazleton, PA. The record was last updated on Feb 21, 2023.