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General NPI Number Information
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NPI Number | 1356573406
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Entity Type | Organization
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Legal Business Name | SENIOR LIFE YORK, INC.
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 1460 MEMORY LANE EXT
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City | YORK
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State | PA
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Zip | 17402-9602
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Country | US
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Telephone | 717-757-5433
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Fax | 717-751-0392
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Provider Business Mailing Address
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Address Line | 209 SIGMA DR
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City | PITTSBURGH
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State | PA
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Zip | 15238-2826
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Country | US
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Telephone | 412-963-9150
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Fax | 412-963-6676
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | MR. HERBERT H HENNELL
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Credential |
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Telephone | 412-963-9150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 254600
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 19933601
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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