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NPI Code Detail

MEDICARE: TRINITY MISSION OF SHENANDOAH HEIGHTS, LLC

MEDICARE: TRINITY MISSION OF SHENANDOAH HEIGHTS, 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 Facility152502PA

Other Identifiers

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

General Provider Information

NPI Number : 1730139460
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY MISSION OF SHENANDOAH HEIGHTS, LLC
Provider Business Mailing Address
First Line : 200 PENNSYLVANIA AVE
Second Line :
City : SHENANDOAH
State : PA
Zip : 17976-1332
Country : US
Telephone Number : 570-462-1921
Fax Number : 571-462-4946
Provider Business Practice Location Address
First Line : 200 PENNSYLVANIA AVE
Second Line :
City : SHENANDOAH
State : PA
Zip : 17976-1332
Country : US
Telephone Number : 570-462-1921
Fax Number : 571-462-4946
Authorized Official
Title or Position : VICE PRESIDENT
Name : MRS. ADRIENNE PINTILIE
Credential :
Telephone Number : 901-937-7994
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/25/2011

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