Provider Demographics
NPI:1982203899
Name:SENA KEAN SNF OPERATIONS LLC
Entity Type:Organization
Organization Name:SENA KEAN SNF OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:STEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-267-9679
Mailing Address - Street 1:17083 ROUTE 6
Mailing Address - Street 2:
Mailing Address - City:SMETHPORT
Mailing Address - State:PA
Mailing Address - Zip Code:16749-4025
Mailing Address - Country:US
Mailing Address - Phone:814-887-5601
Mailing Address - Fax:814-887-2085
Practice Address - Street 1:17083 ROUTE 6
Practice Address - Street 2:
Practice Address - City:SMETHPORT
Practice Address - State:PA
Practice Address - Zip Code:16749-4025
Practice Address - Country:US
Practice Address - Phone:814-887-5601
Practice Address - Fax:814-887-2085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility