Provider Demographics
NPI:1801007471
Name:APPALACHIAN REHABILITATION
Entity Type:Organization
Organization Name:APPALACHIAN REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MALOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:717-263-1617
Mailing Address - Street 1:1648 ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1340
Mailing Address - Country:US
Mailing Address - Phone:717-263-3440
Mailing Address - Fax:
Practice Address - Street 1:2085 WAYNE RD
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-8586
Practice Address - Country:US
Practice Address - Phone:717-262-0029
Practice Address - Fax:717-262-2238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005049L310400000X, 313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility