Whalio Doctors

NPI 1386637809

Sugar Creek Rest, LTD Ptr

Organisation Nursing Facility/Intermediate Care Facility Worthington, PA

Practice location

Address
120 Lakeside Dr, Worthington, PA 16262-5102
Phone
(724) 445-3146
Fax
(724) 445-3186

Authorised official

Name
Steven D Tack
Title
Ceo
Phone
(724) 431-0770

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 195002 (PA)

Registry record

NPI
1386637809
Entity type
Organization
NPI issued
30 Aug 2005
Record last updated
14 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.