Organization · Type 2 NPI

Maybrook-C Whitecliff Opco LLC

Skilled Nursing Facility · Greenville, PA

NPI number 1710348305 Active

Practice location

110 Fredonia Road
Greenville, PA 16125-7911

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None 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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NPI record

NPI: 1710348305
Entity type: Organization (Type 2)
Issued: Mar 10, 2016
Last updated: Apr 25, 2019
Status: Active

Other names

<unavail>
The Grove at Greenville · doing business as
The Grove at Greenville · doing business as

Authorized official

Mr. Ronald S. Jordan
Administrator
(724) 588-8090

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710348305

Maybrook-C Whitecliff Opco LLC's National Provider Identifier is 1710348305, issued on Mar 10, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Greenville, PA. The record was last updated on Apr 25, 2019.