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NPI Code Detail

MEDICARE: REHABILITATION CENTER AT BRETHREN VILLAGE LLC

MEDICARE: REHABILITATION CENTER AT BRETHREN VILLAGE 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 FacilityPA

General Provider Information

NPI Number : 1598137572
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION CENTER AT BRETHREN VILLAGE LLC
Provider Business Mailing Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number : 717-569-2657
Fax Number : 717-581-4402
Provider Business Practice Location Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number : 717-569-2657
Fax Number : 717-581-4402
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE
Name : RODNEY L MARTZALL
Credential :
Telephone Number : 717-581-4234
Provider Enumeration Date : 10/29/2015
Last Update Date : 06/17/2019

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3001 LITITZ PIKE
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Directions to “REHABILITATION CENTER AT BRETHREN VILLAGE LLC ” Practice Location

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