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NPI Code Detail

MEDICARE: CHESTNUT HILL REHAB CENTER, LLC

MEDICARE: CHESTNUT HILL REHAB CENTER, 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 Facility21610201PA

General Provider Information

NPI Number : 1336367911
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESTNUT HILL REHAB CENTER, LLC
Provider Business Mailing Address
First Line : 1022 MAIN ST
Second Line : SUITE H
City : DUNEDIN
State : FL
Zip : 34698-5238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8601 STENTON AVE
Second Line : 3RD FLOOR
City : WYNDMOOR
State : PA
Zip : 19038-8312
Country : US
Telephone Number : 215-233-6200
Fax Number :
Authorized Official
Title or Position : CEO
Name : BEN ATKINS
Credential :
Telephone Number : 727-723-3000
Provider Enumeration Date : 04/21/2007
Last Update Date : 09/05/2007

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