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NPI Code Detail

MEDICARE: PALMYRA REHABILITATION & NURSING, LLC

MEDICARE: PALMYRA REHABILITATION & NURSING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1538651229
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALMYRA REHABILITATION & NURSING, LLC
Provider Business Mailing Address
First Line : 341 N RAILROAD ST
Second Line :
City : PALMYRA
State : PA
Zip : 17078-1328
Country : US
Telephone Number : 717-838-3011
Fax Number : 717-838-3335
Provider Business Practice Location Address
First Line : 341 N RAILROAD ST
Second Line :
City : PALMYRA
State : PA
Zip : 17078-1328
Country : US
Telephone Number : 717-838-3011
Fax Number : 717-838-3335
Authorized Official
Title or Position : MEMBER
Name : JONATHAN STRAUSS
Credential :
Telephone Number : 201-214-8889
Provider Enumeration Date : 05/30/2018
Last Update Date : 05/30/2018

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Directions to “PALMYRA REHABILITATION & NURSING, LLC ” Practice Location

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