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NPI Code Detail

MEDICARE: BRETHREN VILLAGE

MEDICARE: BRETHREN VILLAGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility282602PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013912500
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRETHREN VILLAGE
Provider Business Mailing Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number : 717-569-2657
Fax Number : 717-581-4400
Provider Business Practice Location Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number : 717-569-2657
Fax Number : 717-581-4400
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE
Name : RODNEY L MARTZALL
Credential :
Telephone Number : 717-581-4234
Provider Enumeration Date : 06/20/2005
Last Update Date : 06/17/2019

Similar Medicare Providers

1093797342 — MR. KEITH ROBERT ROLAND RPH
Practice Location Address:
3001 LITITZ PIKE
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17543-9414
Practice Phone: 717-560-8822
Practice Fax:
1023239472 — MR. STEVEN J JELLUM OTR
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Practice Fax:
1629221353 — MRS. LESLIE PETERS CASALE OTR/L
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Practice Fax:
1487896395 — ASHLEY DANIELLE BROWN PTA
Practice Location Address:
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LITITZ, PA
17543-9414
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Practice Fax:
1598137572 — REHABILITATION CENTER AT BRETHREN VILLAGE LLC
Practice Location Address:
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LITITZ, PA
17543-9414
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1346702206 — HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Practice Location Address:
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Practice Phone: 717-560-8822
Practice Fax: 717-581-4435

Directions to “BRETHREN VILLAGE ” Practice Location

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