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General NPI Number Information
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NPI Number | 1497746713
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Entity Type | Organization
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Legal Business Name | UNITED CHURCH OF CHRIST HOMES
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 10/08/2007
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Provider Practice Location Address
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Address Line | 550 E MAIN ST
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City | ANNVILLE
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State | PA
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Zip | 17003-1511
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Country | US
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Telephone | 717-867-4467
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Fax | 717-867-7060
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Provider Business Mailing Address
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Address Line | 550 E MAIN ST
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City | ANNVILLE
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State | PA
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Zip | 17003-1511
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Country | US
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Telephone | 717-867-4467
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Fax | 717-867-7060
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR CHIEF EXECUTIVE
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Name | MR. STEPHEN HORVATH
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Credential |
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Telephone | 717-303-1502
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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 | 730602
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License Number State | PA
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