Pennsylvania
Department of State
ROSE ANN PROVOST
Nursing Home Administrator
License number
NH003715L
Date granted
05/28/1992
Date expires
06/30/1996
Class
Nursing Home Administrator
Status
Inactive
Address
FAIRVIEW PA 16415
palicensing.org
ID 16916168
LAST UPDATED 2024-03-05 20:20:42 UTC
LAST UPDATED 2024-03-05 20:20:42 UTC
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