Organization Name: | ST MARYS MANOR |
NPI Number: | 1932185634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL CZEKNER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 701 Lansdale Ave Lansdale |
State: | PA US |
Postal Code: | 194462958 |
Phone Number: | 2153680900 |
Fax Number: | 2153685254 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 144490 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |