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NPI Code Detail

MEDICARE: ECUMENICAL ENTERPRISES INC

MEDICARE: ECUMENICAL ENTERPRISES 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 Facility137302PA

Other Identifiers

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

General Provider Information

NPI Number : 1134124480
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECUMENICAL ENTERPRISES INC
Provider Business Mailing Address
First Line : 55 W CENTER HILL RD
Second Line :
City : DALLAS
State : PA
Zip : 18612-1069
Country : US
Telephone Number : 570-675-8600
Fax Number : 570-675-8919
Provider Business Practice Location Address
First Line : 55 W CENTER HILL RD
Second Line :
City : DALLAS
State : PA
Zip : 18612-1069
Country : US
Telephone Number : 570-675-8600
Fax Number : 570-675-8919
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. CRISTINA I TARBOX
Credential : NHA
Telephone Number : 570-675-8600
Provider Enumeration Date : 06/14/2005
Last Update Date : 01/08/2009

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Directions to “ECUMENICAL ENTERPRISES INC ” Practice Location

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