Healthcare Provider Details

I. General information

NPI: 1508895723
Provider Name (Legal Business Name): MT HOPE NAZARENE RETIREMENT COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3026 MT HOPE HOME ROAD
MANHEIM PA
17545
US

IV. Provider business mailing address

3026 MT HOPE HOME ROAD
MANHEIM PA
17545
US

V. Phone/Fax

Practice location:
  • Phone: 717-665-6365
  • Fax: 717-665-6366
Mailing address:
  • Phone: 717-665-6365
  • Fax: 717-665-6366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number134002
License Number StatePA

VIII. Authorized Official

Name: MRS. JOANNA LUCAS
Title or Position: BOARD PRESIDENT
Credential:
Phone: 717-491-2560