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NPI Code Detail

MEDICARE: LANDIS HOMES RETIREMENT COMMUNITY

MEDICARE: LANDIS HOMES RETIREMENT COMMUNITY
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 Facility1206PA

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 : 1346243227
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDIS HOMES RETIREMENT COMMUNITY
Provider Business Mailing Address
First Line : 1001 E OREGON RD
Second Line :
City : LITITZ
State : PA
Zip : 17543-9205
Country : US
Telephone Number : 717-569-3271
Fax Number : 717-581-3899
Provider Business Practice Location Address
First Line : 1001 E OREGON RD
Second Line :
City : LITITZ
State : PA
Zip : 17543-9205
Country : US
Telephone Number : 717-569-3271
Fax Number : 717-581-3899
Authorized Official
Title or Position : HEALTHCARE ADMINISTRATOR
Name : MS. ETHEL CALDWELL
Credential :
Telephone Number : 717-381-3572
Provider Enumeration Date : 05/24/2005
Last Update Date : 10/16/2008

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1982169629 — ERICA MARIE DUNKELBERGER OTR/L
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Directions to “LANDIS HOMES RETIREMENT COMMUNITY ” Practice Location

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