ELLEN MEMORIAL HEALTH CARE CENTER
Skilled Nursing Facility
Honesdale, Pennsylvania
Provider NPI: 1366446288
Organization Information:Organization Name: ELLEN MEMORIAL HEALTH CARE CENTER
Practice Location:
23 ELLEN MEMORIAL LN HONESDALE, PA 18431 US
Tel: 570-253-5690 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
23 ELLEN MEMORIAL LN HONESDALE, PA 18431 US
Tel: 570-253-5690 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 318502 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00560132 | NY | 05 | |
0007554460002 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin