ST. MARY'S VILLA NURSING HOME, INC.
Skilled Nursing Facility
Elmhurst Township, Pennsylvania
Provider NPI: 1104829571
Organization Information:Organization Name: ST. MARY'S VILLA NURSING HOME, INC.
Practice Location:
516 SAINT MARYS VILLA RD ELMHURST TOWNSHIP, PA 18444 US
Tel: 570-842-7621 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:
516 SAINT MARYS VILLA RD ELMHURST TOWNSHIP, PA 18444 US
Tel: 570-842-7621 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 711502 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0754940 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin