THE HIGHLANDS AT WYOMISSING
Assisted Living Facility
Wyomissing, Pennsylvania
Provider NPI: 1588636344
Organization Information:Organization Name: THE HIGHLANDS AT WYOMISSING
Practice Location:
2000 CAMBRIDGE AVE WYOMISSING, PA 19610 US
Tel: 610-775-2300 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 CAMBRIDGE AVE WYOMISSING, PA 19610 US
Tel: 610-775-2300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | 103340 |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 089602 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PA DEPT OF HEALTH LICENSE | 089602 | PA | 01 |
SALES TAX EXEMPTION NUMBE | 75-31833-9 | PA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin