# CATHEDRAL VILLAGE

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

## Provider details

- **NPI number:** 1134123730
- **Authorized official:** MRS. DONNA CASNER (CONTROLLER)
- **Authorized official phone:** (717) 502-8922

## Contact information

- **Practice address:** 600 E CATHEDRAL RD, PHILADELPHIA, PA 19128-1933
- **Practice address phone:** (215) 487-1330
- **Practice address fax:** (215) 984-8689
- **Mailing address:** 1 TRINITY DR E, SUITE 201, DILLSBURG, PA 17019-8522
- **Mailing address phone:** (717) 502-8840
- **Mailing address fax:** (717) 502-8842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030402 | PA | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 07/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0757549 | — | PA |