Healthcare Provider Details

I. General information

NPI: 1407348188
Provider Name (Legal Business Name): CAMPBELLTOWN REHABILITATION & NURSING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 HORSESHOE PIKE
PALMYRA PA
17078-9039
US

IV. Provider business mailing address

2880 HORSESHOE PIKE
PALMYRA PA
17078-9039
US

V. Phone/Fax

Practice location:
  • Phone: 717-838-2231
  • Fax: 717-838-2064
Mailing address:
  • Phone: 717-838-2231
  • Fax: 717-838-2064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN STRAUSS
Title or Position: MEMBER
Credential:
Phone: 201-214-8889