Healthcare Provider Details

I. General information

NPI: 1194713149
Provider Name (Legal Business Name): WHITECLIFF LEASING PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 09/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 FREDONIA RD
GREENVILLE PA
16125-7911
US

IV. Provider business mailing address

110 FREDONIA RD
GREENVILLE PA
16125-7911
US

V. Phone/Fax

Practice location:
  • Phone: 724-588-8090
  • Fax: 724-588-2868
Mailing address:
  • Phone: 724-588-8090
  • Fax: 724-588-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number070402
License Number StatePA

VIII. Authorized Official

Name: MRS. FRANCIS A HAYMAN JR.
Title or Position: PRESIDENT LEHIGH NURSING CORP
Credential:
Phone: 610-264-8000