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General NPI Number Information
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NPI Number | 1225036544
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Entity Type | Organization
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Legal Business Name | MARWOOD REST HOME, INC.
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1020 OAK LANE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19126-3340
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Country | US
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Telephone | 215-224-9898
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Fax | 215-224-9897
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Provider Business Mailing Address
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Address Line | 1020 OAK LANE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19126-3340
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Country | US
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Telephone | 215-224-9898
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Fax | 215-224-9897
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. M. SCOTT CARPENTER
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Credential | NHA
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Telephone | 215-224-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 131302
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License Number State | PA
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