MEDICARE: ASSISTED LIVING ASSOCIATES OF SANATOGA, 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	310400000X	Assisted Living Facility	A01830	PA

General Provider Information

NPI Number	:	1467498444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTED LIVING ASSOCIATES OF SANATOGA, INC

Provider Business Mailing Address
First Line	:	101 E STATE ST
Second Line	:
City	:	KENNETT SQUARE
State	:	PA
Zip	:	19348-3109
Country	:	US
Telephone Number	:	610-925-4436
Fax Number	:	610-925-4351

Provider Business Practice Location Address
First Line	:	227 EVERGREEN RD
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-3143
Country	:	US
Telephone Number	:	610-718-0900
Fax Number	:	610-718-8997

Authorized Official
Title or Position	:	CORPORATE MANAGER
Name	:	JANE DROPESKEY
Credential	:
Telephone Number	:	610-925-4231

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	11/16/2011

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