Manor At St. Luke Village Facility Operations, Llc in Hazleton - Skilled Nursing Facility
Manor At St. Luke Village Facility Operations, Llc - NPI 1275547036
Manor At St. Luke Village Facility Operations, Llc is a Skilled Nursing Facility in Hazleton, Pennsylvania. Manor At St. Luke Village Facility Operations, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Manor At St. Luke Village Facility Operations, Llc is 1275547036. The last update date is 2023-11-27.
Manor At St. Luke Village Facility Operations, Llc's current location address is 1711 E Broad St, Hazleton, Pennsylvania. You can contact this provider via phone number 5704535100 and fax number 5704535138. The mailing address for Manor At St. Luke Village Facility Operations, Llc is 1711 E Broad St, Hazleton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Manor At St. Luke Village Facility Operations, Llc |
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Address | 1711 E Broad St, Hazleton, Pennsylvania |
Phone Number | 5704535100 |
Fax Number | 5704535138 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | VP |
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Authorized Official Name | Ussery Kenneth |
Telephone Number | 4075711550 |
NPI Number Detail
NPI Number | 1275547036 |
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Provider Enumeration Date | 2006-07-28 |
Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
Address | 1711 E Broad St |
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City | Hazleton |
State | Pennsylvania (PA) |
Post Code | 182015691 |
Phone Number | 5704535100 |
Fax Number | 5704535138 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1018125210001 | PA | -- |
Post Comment/ Review Below
What is the Manor At St. Luke Village Facility Operations, Llc's 1275547036?
The Manor At St. Luke Village Facility Operations, Llc's NPI (National Provider Identifier) Number is 1275547036. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Manor At St. Luke Village Facility Operations, Llc is geographically located?
The Manor At St. Luke Village Facility Operations, Llc is physically situated at the following location: 1711 E Broad St, Hazleton, PA, 182015691.
What is Manor At St. Luke Village Facility Operations, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Manor At St. Luke Village Facility Operations, Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Manor At St. Luke Village Facility Operations, Llc receive the assignment of its 1275547036 from the Centers for Medicare & Medicaid Services?
The Manor At St. Luke Village Facility Operations, Llc was issued its 1275547036 by the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the details pertaining to Manor At St. Luke Village Facility Operations, Llc last refreshed?
The information related to the Manor At St. Luke Village Facility Operations, Llc, including its address, specialty, and other relevant details, was last updated on 2023-11-27.
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