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MID VALLEY OPERATIONS LLC NPI 1134517378


NPI Information

NPI: 1134517378
Provider Name: MID VALLEY OPERATIONS LLC

Doing Business As: ELMCROFT OF MID VALLEY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
89 STURGES RD
PECKVILLE, PA
ZIP 18452
Phone: (570) 383-9090
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MID VALLEY OPERATIONS LLC is an assisted living facility in Peckville, PA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MID VALLEY OPERATIONS LLC NPI is 1134517378. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmcroft Of Mid Valley.

The provider's business location address is:

89 STURGES RD
PECKVILLE, PA
ZIP 18452-302
Phone: (570) 383-9090
Fax: (570) 383-6665

The provider's authorized official is Robin L Barber .
The authorized official title is Vp & Secretary and has the following contact phone number (502) 753-6004.

The enumeration date for this NPI number is 12/22/2014 and was last updated on 12/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility225880PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1225880OTHERPENNSYLVANIAPERSONAL CARE HOME LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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