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NPI Code Detail

MEDICARE: CATHEDRAL VILLAGE

MEDICARE: CATHEDRAL 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 Facility030402PA

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 : 1134123730
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHEDRAL VILLAGE
Provider Business Mailing Address
First Line : 1 TRINITY DR E
Second Line : SUITE 201
City : DILLSBURG
State : PA
Zip : 17019-8522
Country : US
Telephone Number : 717-502-8840
Fax Number : 717-502-8842
Provider Business Practice Location Address
First Line : 600 E CATHEDRAL RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-1933
Country : US
Telephone Number : 215-487-1330
Fax Number : 215-984-8689
Authorized Official
Title or Position : CONTROLLER
Name : MRS. DONNA CASNER
Credential :
Telephone Number : 717-502-8922
Provider Enumeration Date : 06/10/2005
Last Update Date : 07/22/2016

Similar Medicare Providers

1477114171 — ANDREA GILBERT
Practice Location Address:
600 E CATHEDRAL RD
PHILADELPHIA, PA
19128-1933
Practice Phone: 215-487-1300
Practice Fax:
1184251456 — LEXI MASIAK
Practice Location Address:
600 E CATHEDRAL RD
PHILADELPHIA, PA
19128-1933
Practice Phone: 215-984-8649
Practice Fax:
1053084855 — ANNA CATHERINE DOYLE M.S. CCC-SLP
Practice Location Address:
600 E CATHEDRAL RD
PHILADELPHIA, PA
19128-1933
Practice Phone: 215-487-1300
Practice Fax:
1750091419 — JILLIAN ANNE GILMARTIN OTR/L
Practice Location Address:
600 E CATHEDRAL RD
PHILADELPHIA, PA
19128-1933
Practice Phone: 215-487-1300
Practice Fax:
1396434262 — JALYN DESTENE TAYLOR M.S., CCC-SLP
Practice Location Address:
600 E CATHEDRAL RD
PHILADELPHIA, PA
19128-1933
Practice Phone: 215-487-1300
Practice Fax:
1639862410 — CIERA FRANKLIN
Practice Location Address:
600 E CATHEDRAL RD
PHILADELPHIA, PA
19128-1933
Practice Phone: 814-506-8212
Practice Fax: 814-506-8213

Directions to “CATHEDRAL VILLAGE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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