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NPI Code Detail

MEDICARE: PLEASANT ACRES OPERATING, LLC

MEDICARE: PLEASANT ACRES OPERATING, 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 Facility

General Provider Information

NPI Number : 1619459351
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLEASANT ACRES OPERATING, LLC
Provider Business Mailing Address
First Line : 8301 ROOSEVELT BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2006
Country : US
Telephone Number : 215-951-8500
Fax Number :
Provider Business Practice Location Address
First Line : 118 PLEASANT ACRES RD
Second Line :
City : YORK
State : PA
Zip : 17402-8975
Country : US
Telephone Number : 717-840-7100
Fax Number :
Authorized Official
Title or Position : AUTHORIZED MEMBER
Name : LISA SOFIA
Credential :
Telephone Number : 215-624-7575
Provider Enumeration Date : 08/29/2018
Last Update Date : 08/29/2018

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Directions to “PLEASANT ACRES OPERATING, LLC ” Practice Location

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