# WOOD RIVER PROPERTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wood River Village Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073500963
- **Authorized official:** MR. GERARD MCEVILLY NHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 752-2370

## Contact information

- **Practice address:** 3200 BENSALEM BLVD, BENSALEM, PA 19020-1956
- **Practice address phone:** (215) 752-2370
- **Practice address fax:** (215) 752-1672
- **Mailing address:** 3200 BENSALEM BLVD, BENSALEM, PA 19020-1956
- **Mailing address phone:** (215) 752-2370
- **Mailing address fax:** (215) 752-1672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 233802 | PA | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 05/22/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0002078000 | INDEPENDENCE BLUE CROSS | PA |
| 01 | — | 5312656 | AETNA | PA |