JULIA RIBAUDO SENIOR SERVICES, LLC
Skilled Nursing Facility
Lake Ariel, Pennsylvania
Provider NPI: 1336142652
Organization Information:Organization Name: JULIA RIBAUDO SENIOR SERVICES, LLC
Practice Location:
1404 GOLF PARK DR LAKE ARIEL, PA 18436 US
Tel: 570-698-5647 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:
1404 GOLF PARK DR LAKE ARIEL, PA 18436 US
Tel: 570-698-5647 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 101802 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1009802000001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin