NPI 1790949030

Rolls Personal Care Home

Organisation Custodial Care Facility Masontown, PA

Practice location

Address: 47 River Ave, Masontown, PA 15461-1963
Phone: (724) 952-1013
Fax: (724) 952-1020
Mailing address: PO Box 632, Masontown, PA 15461-0632

Authorised official

Name: Marissa Lyn Roll
Title: Owner/Operator
Phone: (724) 952-1013

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 437181 (PA)

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Registry record

NPI: 1790949030
Entity type: Organization
NPI issued: 16 Jul 2008
Record last updated: 16 Jul 2008

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.