CCN 395265
PAVILION AT ST LUKE VILLAGE, THE
1000 STACIE DRIVE, HAZLETON, PA 18201 · 5704535100 · All PA facilities
For profit - Limited Liability company
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Average residents per day
- 105.3
- Provider type
- Medicare and Medicaid
- In a hospital
- N
- Abuse icon
- N
- Special focus status
- –
- First certified
- 1969-05-29
- Chain
- AVARDIS HEALTH
- Legal business name
- 1000 STACIE DRIVE OPCO LLC
Header facts: Provider Information · file NH_ProviderInfo_Aug2026.csv · CMS dataset 4pq5-n9py · last modified 2026-08-01 · shown unmodified
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