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NPI Code Detail

MEDICARE: LONGWOOD AT OAKMONT, INC

MEDICARE: LONGWOOD AT OAKMONT, 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
1314000000XSkilled Nursing Facility017202PA

General Provider Information

NPI Number : 1578556528
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONGWOOD AT OAKMONT, INC
Provider Business Mailing Address
First Line : 500 ROUTE 909
Second Line :
City : VERONA
State : PA
Zip : 15147-3831
Country : US
Telephone Number : 412-826-5707
Fax Number : 412-826-6906
Provider Business Practice Location Address
First Line : 500 ROUTE 909
Second Line :
City : VERONA
State : PA
Zip : 15147-3831
Country : US
Telephone Number : 412-826-5707
Fax Number : 412-826-6906
Authorized Official
Title or Position : ASSOC EXEC DIRECTOR
Name : MR. JOSEPH A WENGER
Credential :
Telephone Number : 412-826-5704
Provider Enumeration Date : 08/25/2005
Last Update Date : 08/22/2020

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Directions to “LONGWOOD AT OAKMONT, INC ” Practice Location

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