1711 East Broad Street Opco LLC
1711 East Broad Street Opco LLC is a Skilled Nursing Facility in Hazleton, Pennsylvania. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1711 E Broad StHazleton, PA 18201-5691
Phone: (570) 453-5100
Fax: (570) 453-5138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1356159206 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Hoback — Manager · (770) 698-9040 |
| Other names | The Manor At St. Luke Village |
| NPI enumerated | December 24, 2024 |
| Last updated in NPPES | March 10, 2025 |
| Certification date | March 10, 2025 |
| Mailing address | 1711 E Broad St, Hazleton, PA 18201-5691 |
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