County of Schuylkill

Organization Active NPI Skilled Nursing Facility · Schuylkill Haven, PA

NPI 1154318871 · NPPES record last updated Jul 2, 2012

Key facts

NPI
1154318871
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
701002 (PA)
Legal business name
COUNTY OF SCHUYLKILL
Practice address
401 University Dr
Schuylkill Haven, PA 17972-2212
Phone
(570) 385-0331
Fax
(570) 385-1007
NPI assigned
Sep 29, 2005
Organization subpart
No

Authorized official

Name
Jill Schaeffer, RN, BSN, NHA
Title
Administrator
Phone
(570) 385-1185

National Provider Directory

Locations

401 University Dr
Schuylkill Haven, PA 17972
Phone (570) 385-0331

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 701002 PA Yes

Addresses

Primary practice location

401 University Dr
Schuylkill Haven, PA 17972-2212

Mailing address

401 University Dr
Schuylkill Haven, PA 17972-2212
Phone (570) 385-0331

Other identifiers

IdentifierTypeStateIssuer
1000073180006MedicaidPA

Other names

  • Schuylkill County Nursing Home - Rest Haven Doing business as

Other providers in Schuylkill Haven, PA

All providers in Schuylkill Haven, PA · Skilled Nursing Facility in Pennsylvania

Sources for this page

Verify at the official NPI Registry.