Healthcare Provider Details

I. General information

NPI: 1881192524
Provider Name (Legal Business Name): PARAMOUNT NURSING AND REHABILITATION AT FAYETTEVILLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 01/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6375 CHAMBERSBURG RD
FAYETTEVILLE PA
17222-8350
US

IV. Provider business mailing address

3025 WASHINGTON RD STE 201
MC MURRAY PA
15317-3246
US

V. Phone/Fax

Practice location:
  • Phone: 717-352-2721
  • Fax:
Mailing address:
  • Phone: 847-204-9723
  • Fax: 724-969-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CHASE DARMSTADTER
Title or Position: DIRECTOR, ACQUISITIONS&DEVELOPMENT
Credential:
Phone: 847-204-9723