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General NPI Number Information
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NPI Number | 1033101803
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Entity Type | Organization
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Legal Business Name | MARIA JOSEPH MANOR
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 SCHOOLHOUSE RD
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City | DANVILLE
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State | PA
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Zip | 17821-7200
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Country | US
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Telephone | 570-275-6100
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Fax | 570-275-9057
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Provider Business Mailing Address
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Address Line | 875 MONTOUR BLVD
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City | DANVILLE
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State | PA
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Zip | 17821-9148
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Country | US
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Telephone | 570-275-4221
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Fax | 570-275-5616
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SISTER MARGUERITE HRUBY
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Credential | RN, NHA
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Telephone | 570-275-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 391302
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License Number State | PA
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