Healthcare Provider Details
I. General information
NPI: 1255205787
Provider Name (Legal Business Name): PERLA LIFECARE NURSING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1477 RIDGE MASTER DR
STATE COLLEGE PA
16803-3163
US
IV. Provider business mailing address
1477 RIDGE MASTER DR
STATE COLLEGE PA
16803-3163
US
V. Phone/Fax
- Phone: 570-225-5514
- Fax:
- Phone: 570-225-5514
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| 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: MRS.
MONICA
MAY
GAROFOLI
Title or Position: RN
Credential: BSN
Phone: 570-225-5514