Healthcare Provider Details

I. General information

NPI: 1912106394
Provider Name (Legal Business Name): PLEASANT VIEW RETIREMENT COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 N PENRYN RD
MANHEIM PA
17545-8562
US

IV. Provider business mailing address

544 N PENRYN RD
MANHEIM PA
17545-8562
US

V. Phone/Fax

Practice location:
  • Phone: 717-664-6276
  • Fax: 717-664-6553
Mailing address:
  • Phone: 717-664-6276
  • Fax: 717-664-6553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: WANDA M HERTZOG-GRANNT
Title or Position: VP FINANCE
Credential:
Phone: 717-664-6276