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NPI Code Detail

MEDICARE: GARVEY MANOR NURSING HOME

MEDICARE: GARVEY MANOR NURSING HOME
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 Facility070202PA
2311ZA0620XAdult Care Home Facility316410PA
3313M00000XNursing Facility/Intermediate Care Facility070202PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10612OTHERPAHIGHMARK BC / BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497750053
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARVEY MANOR NURSING HOME
Provider Business Mailing Address
First Line : 1037 SOUTH LOGAN BLVD
Second Line :
City : HOLLIDAYSBURG
State : PA
Zip : 16648-2604
Country : US
Telephone Number : 814-695-5571
Fax Number : 814-695-8516
Provider Business Practice Location Address
First Line : 1037 SOUTH LOGAN BLVD
Second Line :
City : HOLLIDAYSBURG
State : PA
Zip : 16648-2604
Country : US
Telephone Number : 814-695-5571
Fax Number : 814-695-8516
Authorized Official
Title or Position : ADMINISTRATOR
Name : SR. JOACHIM ANNE FERENCHAK, O. CARM.
Credential : R.N.
Telephone Number : 814-695-5571
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/18/2014

Similar Medicare Providers

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Practice Location Address:
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Practice Location Address:
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Directions to “GARVEY MANOR NURSING HOME ” Practice Location

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