PD
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SOUTH MOUNTAIN, PA
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1295718039
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
RevalidationDue 2026-05-31
Authorized official
NameKATHY LIGHT
TitleADMINISTRATOR
Phone7177494000
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Source: NPI Registry · Last refreshed June 24, 2026