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NPI Code Detail

MEDICARE: CPL (FOX CHASE) LLC

MEDICARE: CPL (FOX CHASE) LLC
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 Facility15118MD
2314000000XSkilled Nursing Facility15-008MD

Other Identifiers

General Provider Information

NPI Number : 1164403804
Entity Type Code : Organization
Provider Name (Legal Business Name) : CPL (FOX CHASE) LLC
Provider Business Mailing Address
First Line : 538 PRESTON AVENUE
Second Line : SUITE 270
City : MERIDEN
State : CT
Zip : 06450-4851
Country : US
Telephone Number : 203-608-6100
Fax Number : 203-639-3574
Provider Business Practice Location Address
First Line : 2015 EAST WEST HIGHWAY
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-2602
Country : US
Telephone Number : 301-587-2400
Fax Number : 301-587-2404
Authorized Official
Title or Position : LLC MANAGER
Name : MS. CAROLE M SCILLIA
Credential :
Telephone Number : 203-608-6100
Provider Enumeration Date : 11/09/2005
Last Update Date : 07/27/2011

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Directions to “CPL (FOX CHASE) LLC ” Practice Location

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