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General NPI Number Information
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NPI Number | 1497750053
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Entity Type | Organization
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Legal Business Name | GARVEY MANOR NURSING HOME
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 1037 SOUTH LOGAN BLVD
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-2604
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Country | US
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Telephone | 814-695-5571
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Fax | 814-695-8516
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Provider Business Mailing Address
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Address Line | 1037 SOUTH LOGAN BLVD
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-2604
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Country | US
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Telephone | 814-695-5571
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Fax | 814-695-8516
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SR. JOACHIM ANNE FERENCHAK, O. CARM.
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Credential | R.N.
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Telephone | 814-695-5571
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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 | 070202
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 316410
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 070202
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License Number State | PA
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