MEDICARE: MARWOOD REST 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
1	314000000X	Skilled Nursing Facility	131302	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1225036544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARWOOD REST HOME, INC.

Provider Business Mailing Address
First Line	:	1020 OAK LANE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-3340
Country	:	US
Telephone Number	:	215-224-9898
Fax Number	:	215-224-9897

Provider Business Practice Location Address
First Line	:	1020 OAK LANE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-3340
Country	:	US
Telephone Number	:	215-224-9898
Fax Number	:	215-224-9897

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. M. SCOTT CARPENTER
Credential	:	NHA
Telephone Number	:	215-224-9898

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	08/22/2020

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Directions to “MARWOOD REST HOME, INC. ” Practice Location

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