OrganizationActive
1000 Stacie Drive Opco LLC
NPI 1174331029 · Skilled Nursing Facility · Hazleton, PA
Provider details
- NPI number
- 1174331029
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Tiffany Hoback, Manager
Practice location
1000 Stacie Dr
Hazleton, PA 18201-5690
Phone: (570) 453-5100
Fax: (570) 453-5106
Mailing address
1000 Stacie Dr
Hazleton, PA 18201-5690
Registry dates
- Enumerated
- 2024-12-24
- Last updated
- 2025-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.