Lackawanna Health Care Center LLC

Organization Active NPI Skilled Nursing Facility · Olyphant, PA

NPI 1376865550 · NPPES record last updated Feb 16, 2010

Key facts

NPI
1376865550
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
LACKAWANNA HEALTH CARE CENTER LLC
Practice address
108 Terrace Dr
Olyphant, PA 18447-2503
Phone
(570) 489-8611
NPI assigned
Feb 16, 2010
Organization subpart
No

Authorized official

Name
Eli Strohli
Title
President
Phone
(305) 864-9191

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

108 Terrace Dr
Olyphant, PA 18447-2503

Mailing address

108 Terrace Dr
Olyphant, PA 18447-2503
Phone (570) 489-8611

Other identifiers

IdentifierTypeStateIssuer
39-5414OtherPAMEDICARE

Other names

  • Lackawanna Health and Rehab Center Doing business as

Other providers in Olyphant, PA

All providers in Olyphant, PA · Skilled Nursing Facility in Pennsylvania

Sources for this page

Verify at the official NPI Registry.