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NPI Code Detail

MEDICARE: JEWISH HOME OF GREATER HARRISBURG

MEDICARE: JEWISH HOME OF GREATER HARRISBURG
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 Facility3220060232PA
2314000000XSkilled Nursing Facility102002PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2395372OTHERPALEGACY

General Provider Information

NPI Number : 1952493272
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH HOME OF GREATER HARRISBURG
Provider Business Mailing Address
First Line : 4000 LINGLESTOWN RD
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-1017
Country : US
Telephone Number : 717-657-0700
Fax Number : 717-657-9409
Provider Business Practice Location Address
First Line : 4000 LINGLESTOWN RD
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-1017
Country : US
Telephone Number : 717-657-0700
Fax Number : 717-657-9409
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. ALLEN GECKLE
Credential :
Telephone Number : 717-657-0700
Provider Enumeration Date : 09/28/2006
Last Update Date : 12/27/2018

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Directions to “JEWISH HOME OF GREATER HARRISBURG ” Practice Location

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