NPI 1669776563

The Villa Assisted Living, LLC

Organisation Assisted Living Facility Johnstown, PA

Practice location

Address: 322 Warren St Suite 300, Johnstown, PA 15905-3443
Phone: (814) 288-1418
Fax: (814) 288-1525
Mailing address: 429 Napoleon Pl, Johnstown, PA 15901-2504

Authorised official

Name: Richard M Kastelic
Title: Member/Owner
Phone: (814) 254-4514

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 328361 (PA)

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Registry record

NPI: 1669776563
Entity type: Organization
NPI issued: 6 Jan 2011
Record last updated: 6 Jan 2011

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.