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NPI Code Detail

MEDICARE: CLIVEDEN- MAPLEWOOD CONVALESCENT CENTER INC

MEDICARE: CLIVEDEN- MAPLEWOOD CONVALESCENT CENTER 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 FacilityPA

General Provider Information

NPI Number : 1205944402
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLIVEDEN- MAPLEWOOD CONVALESCENT CENTER INC
Provider Business Mailing Address
First Line : 6950 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-2120
Country : US
Telephone Number : 215-951-7630
Fax Number : 215-844-8890
Provider Business Practice Location Address
First Line : 6400 GREENE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-3231
Country : US
Telephone Number : 215-951-7630
Fax Number : 215-844-8890
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE
Name : MR. DONALD LEVESQUE
Credential :
Telephone Number : 215-951-4596
Provider Enumeration Date : 08/28/2006
Last Update Date : 03/14/2008

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Directions to “CLIVEDEN- MAPLEWOOD CONVALESCENT CENTER INC ” Practice Location

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