Healthcare Provider Details

I. General information

NPI: 1336122043
Provider Name (Legal Business Name): FRIENDS OF THE ZENDT HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MAIN ST.
RICHFIELD PA
17086
US

IV. Provider business mailing address

PO BOX 248
RICHFIELD PA
17086-0248
US

V. Phone/Fax

Practice location:
  • Phone: 717-694-3434
  • Fax: 717-694-3626
Mailing address:
  • Phone: 717-694-3434
  • Fax: 717-694-3626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number260202
License Number StatePA

VIII. Authorized Official

Name: MRS. LORI KERSTETTER
Title or Position: ADMINISTRATOR
Credential: RN, NHA
Phone: 717-694-3434