| Organization Name: | PARADISE MANOR |
| NPI Number: | 1194947762 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN B SPRAGUE (PRESIDENT BOARD OF DIRECTORS) |
| Mailing Address: | 206 E Lincoln Ave Hatfield |
| State: | PA US |
| Postal Code: | 194402541 |
| Phone Number: | 2158552697 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 09/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | A40280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |