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NPI Code Detail

MEDICARE: INDIANA SKILLED NURSING INC

MEDICARE: INDIANA SKILLED NURSING INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility0331PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21235131418OTHERPANPI

General Provider Information

NPI Number : 1235131418
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIANA SKILLED NURSING INC
Provider Business Mailing Address
First Line : 1515 WAYNE AVE
Second Line :
City : INDIANA
State : PA
Zip : 15701-4702
Country : US
Telephone Number : 724-349-5300
Fax Number : 724-349-5379
Provider Business Practice Location Address
First Line : 1515 WAYNE AVE
Second Line :
City : INDIANA
State : PA
Zip : 15701-4702
Country : US
Telephone Number : 724-349-5300
Fax Number : 724-349-5379
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. LEAH MCANDREWS
Credential :
Telephone Number : 724-349-5300
Provider Enumeration Date : 06/01/2005
Last Update Date : 06/12/2024

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Directions to “INDIANA SKILLED NURSING INC ” Practice Location

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