Healthcare Provider Details

I. General information

NPI: 1982152880
Provider Name (Legal Business Name): PASSAGE SAYRE OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 KEEFER LN
SAYRE PA
18840-7967
US

IV. Provider business mailing address

6375 CHAMBERSBURG RD
FAYETTEVILLE PA
17222-8350
US

V. Phone/Fax

Practice location:
  • Phone: 570-888-2192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANDREW TURNER
Title or Position: MEMBER
Credential:
Phone: 787-232-5890