Healthcare Provider Details

I. General information

NPI: 1730450479
Provider Name (Legal Business Name): WILLOW VALLEY RETIREMENT COMMUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WILLOW VALLEY SQ
LANCASTER PA
17602-4866
US

IV. Provider business mailing address

600 WILLOW VALLEY SQ
LANCASTER PA
17602-4866
US

V. Phone/Fax

Practice location:
  • Phone: 717-464-6411
  • Fax: 717-464-6040
Mailing address:
  • Phone: 717-464-6411
  • Fax: 717-464-6040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DENNIS GREIST
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 717-464-2741