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NPI Code Detail

MEDICARE: CUMBERLAND COUNTY

MEDICARE: CUMBERLAND COUNTY
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 Facility037602PA

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 : 1336143023
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMBERLAND COUNTY
Provider Business Mailing Address
First Line : 1 COURT HOUSE SQ
Second Line : RM 207
City : CARLISLE
State : PA
Zip : 17013-3323
Country : US
Telephone Number : 717-243-2031
Fax Number : 717-240-1952
Provider Business Practice Location Address
First Line : 1000 CLAREMONT RD
Second Line :
City : CARLISLE
State : PA
Zip : 17013-7310
Country : US
Telephone Number : 717-243-2031
Fax Number : 717-240-1952
Authorized Official
Title or Position : NURSING HOME ADMINISTRATOR
Name : RAYMOND SOTO
Credential :
Telephone Number : 732-503-2913
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/18/2015

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1720558174 — ASHLEY FISCEL PTA
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1275003287 — JEREMY EVAN DAMIANO PTA
Practice Location Address:
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1932670551 — STACY ROSENBERRY
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Directions to “CUMBERLAND COUNTY ” Practice Location

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