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NPI Code Detail

MEDICARE: MORNINGSTAR SENIOR LIVING INC

MEDICARE: MORNINGSTAR SENIOR LIVING 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
1310400000XAssisted Living Facility226280PA
2314000000XSkilled Nursing Facility392702PA

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 : 1669477261
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORNINGSTAR SENIOR LIVING INC
Provider Business Mailing Address
First Line : 175 W NORTH ST
Second Line :
City : NAZARETH
State : PA
Zip : 18064-1410
Country : US
Telephone Number : 610-746-1000
Fax Number : 610-746-1444
Provider Business Practice Location Address
First Line : 175 W NORTH ST
Second Line :
City : NAZARETH
State : PA
Zip : 18064-1410
Country : US
Telephone Number : 610-746-1000
Fax Number : 610-746-1444
Authorized Official
Title or Position : SENIOR DIRECTOR & CONTROLLER
Name : ELIZABETH ANN WALDRON
Credential :
Telephone Number : 610-746-1007
Provider Enumeration Date : 06/20/2005
Last Update Date : 10/12/2011

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Directions to “MORNINGSTAR SENIOR LIVING INC ” Practice Location

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