Healthcare Provider Details

I. General information

NPI: 1609095710
Provider Name (Legal Business Name): GENERAL HEALTHCARE RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 N READING RD
STEVENS PA
17578-9703
US

IV. Provider business mailing address

107 N STATE ST APT 5
EPHRATA PA
17522-2253
US

V. Phone/Fax

Practice location:
  • Phone: 717-336-2442
  • Fax: 717-336-7003
Mailing address:
  • Phone: 717-265-3588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number9949750
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TINA MARIE MULL
Title or Position: CNA
Credential:
Phone: 717-265-3855