Healthcare Provider Details

I. General information

NPI: 1609817493
Provider Name (Legal Business Name): MCKERLEY HEALTH CARE CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 COUNTRY VILLAGE RD
LANCASTER NH
03584-3142
US

IV. Provider business mailing address

101 E STATE ST
KENNETT SQUARE PA
19348-3109
US

V. Phone/Fax

Practice location:
  • Phone: 603-788-4650
  • Fax: 603-788-3987
Mailing address:
  • Phone: 610-925-4436
  • Fax: 610-925-4351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number02299
License Number StateNH

VIII. Authorized Official

Name: JANE DORPESKEY
Title or Position: CORPORATE MANAGER
Credential:
Phone: 610-925-4231