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NPI Code Detail

MEDICARE: CENTRAL PENN NURSING CARE INC

MEDICARE: CENTRAL PENN NURSING CARE 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
1163W00000XRegistered Nurse
2163WR0400XRehabilitation Registered Nurse
3164W00000XLicensed Practical Nurse
4163WH0200XHome Health Registered Nurse
5163WC1500XCommunity Health Registered Nurse
6163WA2000XAdministrator Registered Nurse
7163WG0000XGeneral Practice Registered Nurse
8251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10019039460001OTHERPAPDA WAIVER
20019039460003OTHERPAMHMR

General Provider Information

NPI Number : 1407076268
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL PENN NURSING CARE INC
Provider Business Mailing Address
First Line : 1910 FRUITVILLE PIKE
Second Line :
City : LANCASTER
State : PA
Zip : 17601-3997
Country : US
Telephone Number : 717-569-0451
Fax Number : 717-569-4528
Provider Business Practice Location Address
First Line : 1910 FRUITVILLE PIKE
Second Line :
City : LANCASTER
State : PA
Zip : 17601-3997
Country : US
Telephone Number : 717-569-0451
Fax Number : 717-569-4528
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ELEANOR H STRAYER
Credential :
Telephone Number : 717-569-0451
Provider Enumeration Date : 04/26/2007
Last Update Date : 06/02/2008

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Directions to “CENTRAL PENN NURSING CARE INC ” Practice Location

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