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CHURCH LANE SENIOR SERVICES, LLC

Skilled Nursing Facility

Broomall, Pennsylvania

Provider NPI: 1194728493

Organization Information:
Organization Name:  CHURCH LANE SENIOR SERVICES, LLC


Practice Location:
43 CHURCH LN  BROOMALL, PA 19008 US
Tel: 610-356-3003  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
PA023102

Other Provider Identifiers:

IssuerNumberStateType
1009799700001PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS PA - Page 1