Healthcare Provider Details

I. General information

NPI: 1720083850
Provider Name (Legal Business Name): ST. ANNE'S RETIREMENT COMMUNITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3952 COLUMBIA AVE
COLUMBIA PA
17512-9702
US

IV. Provider business mailing address

3952 COLUMBIA AVE
COLUMBIA PA
17512-9702
US

V. Phone/Fax

Practice location:
  • Phone: 717-285-5443
  • Fax: 717-285-5950
Mailing address:
  • Phone: 717-285-5443
  • Fax: 717-285-5950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number450102
License Number StatePA

VIII. Authorized Official

Name: MRS. MARY F TURNBAUGH
Title or Position: PRESIDENT
Credential:
Phone: 717-285-5443