OrganizationActive
208 Pennknoll Road Opco LLC
NPI 1710795661 · Skilled Nursing Facility · Everett, PA
Provider details
- NPI number
- 1710795661
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Hoback, Manager(770) 698-9040
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
208 Pennknoll Rd
Everett, PA 15537-6940
Phone: (814) 623-3200
Fax: (814) 623-3202
Approximate (ZIP-level) locationGet directions
Mailing address
208 Pennknoll Rd
Everett, PA 15537-6940
Other names (DBA / former)
- Doing business as
- Pennknoll Village
Registry dates
- Enumerated
- 2024-12-24
- Last updated
- 2025-03-10
- Certified
- 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.