# BRETHREN VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013912500
- **Authorized official:** RODNEY L MARTZALL (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (717) 581-4234

## Contact information

- **Practice address:** 3001 LITITZ PIKE, LITITZ, PA 17543-9414
- **Practice address phone:** (717) 569-2657
- **Practice address fax:** (717) 581-4400
- **Mailing address:** 3001 LITITZ PIKE, LITITZ, PA 17543-9414
- **Mailing address phone:** (717) 569-2657
- **Mailing address fax:** (717) 581-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 282602 | PA | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 06/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1001262480003 | — | PA |