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NPI Code Detail

MEDICARE: MANOR CARE-KINGSTON COURT OF YORK PA, LLC

MEDICARE: MANOR CARE-KINGSTON COURT OF YORK PA, 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 Facility026302PA

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 : 1215984935
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANOR CARE-KINGSTON COURT OF YORK PA, LLC
Provider Business Mailing Address
First Line : 333 N SUMMIT ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-2615
Country : US
Telephone Number : 419-252-5500
Fax Number : 877-385-9446
Provider Business Practice Location Address
First Line : 2400 KINGSTON CT
Second Line :
City : YORK
State : PA
Zip : 17402-3650
Country : US
Telephone Number : 570-288-9315
Fax Number : 570-288-8081
Authorized Official
Title or Position : DIRECTOR
Name : MR. MARTIN D ALLEN
Credential :
Telephone Number : 419-252-5743
Provider Enumeration Date : 05/28/2006
Last Update Date : 02/09/2023

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Directions to “MANOR CARE-KINGSTON COURT OF YORK PA, LLC ” Practice Location

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