Healthcare Provider Details
I. General information
NPI: 1932384963
Provider Name (Legal Business Name): HARRISON SENIOR LIVING OF CHRISTIANA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2008
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41 NEWPORT AVE
CHRISTIANA PA
17509-1305
US
IV. Provider business mailing address
300 STRODE AVE
COATESVILLE PA
19320-2874
US
V. Phone/Fax
- Phone: 610-593-6901
- Fax:
- Phone: 610-383-4225
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
HARRISON
G
SAUNDERS
Title or Position: PRESIDENT, CEO
Credential:
Phone: 610-383-4225