# PERINI SERVICES/SOUTHAMPTON MANOR LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shippensburg Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073572871
- **Authorized official:** MR. JOHN P PERINI (PRESIDENT)
- **Authorized official phone:** (301) 745-8700

## Contact information

- **Practice address:** 141 WALNUT BOTTOM ROAD, SHIPPENSBURG, PA 17257-9005
- **Practice address phone:** (717) 530-8300
- **Practice address fax:** (717) 530-8304
- **Mailing address:** 1710 UNDERPASS WAY, SUITE 201, HAGERSTOWN, MD 21740-6979
- **Mailing address phone:** (301) 745-8700
- **Mailing address fax:** (301) 790-3094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 035002 | PA | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 09/16/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0015509080002 | — | PA |