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NPI Code Detail

MEDICARE: RHA/PENNSYLVANIA NURSING HOME INC

MEDICARE: RHA/PENNSYLVANIA NURSING HOME INC
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 Facility162502PA
2314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10005798000OTHERBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134113293
Entity Type Code : Organization
Provider Name (Legal Business Name) : RHA/PENNSYLVANIA NURSING HOME INC
Provider Business Mailing Address
First Line : 815 CHESTER PIKE
Second Line :
City : PROSPECT PARK
State : PA
Zip : 19076-2322
Country : US
Telephone Number : 610-586-6262
Fax Number : 610-586-4420
Provider Business Practice Location Address
First Line : 815 CHESTER PIKE
Second Line :
City : PROSPECT PARK
State : PA
Zip : 19076-2322
Country : US
Telephone Number : 610-586-6262
Fax Number : 610-586-4420
Authorized Official
Title or Position : OFFICE MANAGER
Name : MARGE RICHARDS
Credential :
Telephone Number : 610-586-6262
Provider Enumeration Date : 09/06/2005
Last Update Date : 07/29/2008

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Directions to “RHA/PENNSYLVANIA NURSING HOME INC ” Practice Location

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