JENNER'S POND INC.
Assisted Living Facility
West Grove, Pennsylvania
Provider NPI: 1902895550
Organization Information:Organization Name: JENNER'S POND INC.
Practice Location:
2000 GREENBRIAR LN WEST GROVE, PA 19390 US
Tel: 610-869-6770 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2000 GREENBRIAR LN WEST GROVE, PA 19390 US
Tel: 610-869-6770 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | PA | 15700201 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | 101500 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
AETNA | 3975364 | PA | 01 |
PPO | 7972591 | PA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin