Healthcare Provider Details

I. General information

NPI: 1407162993
Provider Name (Legal Business Name): HUTNINGDON NURSING AND REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2010
Last Update Date: 08/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 WARM SPRINGS AVE
HUNTINGDON PA
16652-2350
US

IV. Provider business mailing address

1229 WARM SPRINGS AVE
HUNTINGDON PA
16652-2350
US

V. Phone/Fax

Practice location:
  • Phone: 814-643-4210
  • Fax: 814-643-8175
Mailing address:
  • Phone: 814-643-4210
  • Fax: 814-643-8175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURIE FUNK
Title or Position: OFFICE MANAGER
Credential:
Phone: 814-643-4210