Healthcare Provider Details

I. General information

NPI: 1033107297
Provider Name (Legal Business Name): OVERLOOK LEASING PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 HARBOR ST
NEW CASTLE PA
16101-2011
US

IV. Provider business mailing address

715 HARBOR ST
NEW CASTLE PA
16101-2011
US

V. Phone/Fax

Practice location:
  • Phone: 724-652-3863
  • Fax: 724-652-1756
Mailing address:
  • Phone: 724-652-3863
  • Fax: 724-652-1756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100502
License Number StatePA

VIII. Authorized Official

Name: MR. FRANCIS A HAYMAN JR.
Title or Position: PRSIDENT LEHIGH NURSING CORP
Credential:
Phone: 610-264-8000