Healthcare Provider Details

I. General information

NPI: 1518506930
Provider Name (Legal Business Name): THE BRETHREN HOME COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2990 CARLISLE PIKE
NEW OXFORD PA
17350
US

IV. Provider business mailing address

2990 CARLISLE PIKE
NEW OXFORD PA
17350
US

V. Phone/Fax

Practice location:
  • Phone: 717-624-5500
  • Fax: 717-624-5325
Mailing address:
  • Phone: 717-624-5500
  • Fax: 717-624-5325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT ALAN SOWERS
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 717-624-5498