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NPI Code Detail

MEDICARE: 8015 LAWNDALE STREET OPERATIONS LLC

MEDICARE: 8015 LAWNDALE STREET OPERATIONS 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 Facility941002PA

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 : 1851573166
Entity Type Code : Organization
Provider Name (Legal Business Name) : 8015 LAWNDALE STREET OPERATIONS LLC
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4436
Fax Number : 610-925-4436
Provider Business Practice Location Address
First Line : 8015 LAWNDALE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-1507
Country : US
Telephone Number : 215-725-2525
Fax Number : 215-745-3970
Authorized Official
Title or Position : CORPORATE MANAGER
Name : JANE DROPESKEY
Credential :
Telephone Number : 610-925-4231
Provider Enumeration Date : 11/28/2007
Last Update Date : 07/20/2011

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