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NPI Code Detail

MEDICARE: CHERRY TREE HEALTH CARE CORPORATION

MEDICARE: CHERRY TREE HEALTH CARE CORPORATION
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 Facility058102PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21052OTHERPABLUE CROSS

General Provider Information

NPI Number : 1518056233
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHERRY TREE HEALTH CARE CORPORATION
Provider Business Mailing Address
First Line : 20 HIGHLAND PARK DR
Second Line : C/O MEDSERV MANAGEMENT INC
City : UNIONTOWN
State : PA
Zip : 15401-8922
Country : US
Telephone Number : 724-439-4531
Fax Number : 724-438-0953
Provider Business Practice Location Address
First Line : 410 TERRACE DR
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-8991
Country : US
Telephone Number : 724-438-6000
Fax Number : 724-438-6073
Authorized Official
Title or Position : PRESIDENT
Name : KISHOR E JOSHI
Credential : M.D.
Telephone Number : 724-439-4531
Provider Enumeration Date : 10/12/2006
Last Update Date : 04/29/2008

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Directions to “CHERRY TREE HEALTH CARE CORPORATION ” Practice Location

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