Provider Demographics
NPI:1710277439
Name:DALLASTOWN OPERATING INC
Entity Type:Organization
Organization Name:DALLASTOWN OPERATING INC
Other - Org Name:DALLASTOWN NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-244-2295
Mailing Address - Street 1:623 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313-2313
Mailing Address - Country:US
Mailing Address - Phone:717-244-2295
Mailing Address - Fax:717-244-7963
Practice Address - Street 1:623 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-2313
Practice Address - Country:US
Practice Address - Phone:717-244-2295
Practice Address - Fax:717-244-7963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA190802314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility