NPI 1912629296

Loyalsock Operating LLC

Organisation Skilled Nursing Facility Montoursville, PA

Practice location

Address: 1445 Sycamore Rd, Montoursville, PA 17754-9519
Phone: (570) 601-8100
Mailing address: 395 Pearsall Ave STE K, Cedarhurst, NY 11516-1828

Authorised official

Name: Gedaliah Wielgus
Title: Authorized Officail
Phone: (570) 601-8100

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1912629296
Entity type: Organization
NPI issued: 14 Sep 2022
Record last updated: 21 Nov 2022

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.