MEDICARE: ST. ANNE'S RETIREMENT COMMUNITY, 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	450102	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	:	1720083850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. ANNE'S RETIREMENT COMMUNITY, INC.

Provider Business Mailing Address
First Line	:	3952 COLUMBIA AVE
Second Line	:
City	:	COLUMBIA
State	:	PA
Zip	:	17512-9702
Country	:	US
Telephone Number	:	717-285-5443
Fax Number	:	717-285-5950

Provider Business Practice Location Address
First Line	:	3952 COLUMBIA AVE
Second Line	:
City	:	COLUMBIA
State	:	PA
Zip	:	17512-9702
Country	:	US
Telephone Number	:	717-285-5443
Fax Number	:	717-285-5950

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARY F TURNBAUGH
Credential	:
Telephone Number	:	717-285-5443

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/22/2020

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