Lackawanna County Employees
Organization Active NPI Skilled Nursing Facility · Olyphant, PA
NPI 1477549855 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1477549855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 134902 (PA)
- Legal business name
- LACKAWANNA COUNTY EMPLOYEES
- Practice address
- Sturges Road
Olyphant, PA 18447 - Phone
- (570) 489-8611
- Fax
- (570) 489-5349
- NPI assigned
- Sep 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. James Miller, LNHA
- Title
- Administrator
- Phone
- (570) 489-8611
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 134902 | PA | Yes |
Addresses
Primary practice location
Sturges Road
Olyphant, PA 18447
Mailing address
Sturges Road
Olyphant, PA 18447
Phone (570) 489-8611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007571820003 | Medicaid | PA |
Other names
- Lackawanna County Health Care Center
Other providers in Olyphant, PA
- Home Health Care Professionals, Inc.
- Home Health Care Professionals, Inc.
- JPV Sales Inc
- Marilynn C Ksiazek
- Lackawanna Acquisition I, LLC
- Lackawanna County Health Care Center
- Lackawanna Health Care Center LLC
- Thomas G Majernick
- Michael Allan Maritato
- Alphonse Matrone Jr.
All providers in Olyphant, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.