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NPI Code Detail

MEDICARE: PRESBYTERIAN SENIOR LIVING SERVICES, INC.

MEDICARE: PRESBYTERIAN SENIOR LIVING SERVICES, 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 Facility03025MD

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 : 1932193158
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN SENIOR LIVING SERVICES, INC.
Provider Business Mailing Address
First Line : 1 TRINITY DR E
Second Line : SUITE 201
City : DILLSBURG
State : PA
Zip : 17019-8522
Country : US
Telephone Number : 717-502-8595
Fax Number : 717-502-8842
Provider Business Practice Location Address
First Line : 11630 GLEN ARM RD
Second Line :
City : GLEN ARM
State : MD
Zip : 21057-9403
Country : US
Telephone Number : 717-502-8595
Fax Number : 717-502-8842
Authorized Official
Title or Position : VP, CONTROLLER
Name : MRS. DONNA B CASNER
Credential :
Telephone Number : 717-502-8922
Provider Enumeration Date : 09/02/2005
Last Update Date : 08/20/2013

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