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NPI Code Detail

MEDICARE: HARRISON HOUSE OF GEORGETOWN,INC

MEDICARE: HARRISON HOUSE OF GEORGETOWN,INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1068DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003800384
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRISON HOUSE OF GEORGETOWN,INC
Provider Business Mailing Address
First Line : 300 STRODE AVE
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-2874
Country : US
Telephone Number : 610-383-4225
Fax Number : 610-383-4575
Provider Business Practice Location Address
First Line : 110 W NORTH ST
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-2137
Country : US
Telephone Number : 302-856-4574
Fax Number : 302-856-3021
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : CHRISTOPHER RICHETTI
Credential :
Telephone Number : 610-383-4225
Provider Enumeration Date : 09/01/2005
Last Update Date : 12/05/2007

Similar Medicare Providers

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1629196415 — LAURIE JOSEPH COTA
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1679691471 — NINA SAARIKKO M.A. CCC-SLP
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1043339666 — MRS. SALLY MARIE DZIAK OTR
Practice Location Address:
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Practice Fax:
1093834343 — MR. WILLIAM HAROLD LEWIS II PTA
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1417105305 — HARRISON SENIOR LIVING OF GEORGETOWN, LLC
Practice Location Address:
110 W NORTH ST
GEORGETOWN, DE
19947-2137
Practice Phone: 302-856-4574
Practice Fax: 302-856-3021

Directions to “HARRISON HOUSE OF GEORGETOWN,INC ” Practice Location

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