# COUNTY OF LEHIGH PENNSYLVANIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEHIGH CO CHIEF EX OFF
- **Other names:** CEDARBROOK LEHIGH CO HOMES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043215072
- **Legal business name:** LEHIGH CO CHIEF EX OFF
- **Authorized official:** MR. JOSEPH SHADID RN, MSN, MBS, NHA (DIRECTOR/ADMINISTRATOR)
- **Authorized official phone:** (610) 395-3727

## Contact information

- **Practice address:** 350 S CEDARBROOK RD, ALLENTOWN, PA 18104-5708
- **Practice address phone:** (610) 395-3727
- **Practice address fax:** (610) 395-4737
- **Mailing address:** 350 S CEDARBROOK RD, ALLENTOWN, PA 18104-5708
- **Mailing address phone:** (610) 395-3727
- **Mailing address fax:** (610) 395-4737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550102 | PA | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 12/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005757700002 | — | PA |
| 05 | — | 0005757700003 | — | PA |
| 05 | — | 1000072380063 | — | PA |
| 05 | — | 1000072380064 | — | PA |
| 01 | — | 1648 | BLUE SHIELD | PA |
| 01 | — | A08008670 | MEDICARE DMERC | PA |