# CLIVEDEN- MAPLEWOOD CONVALESCENT CENTER INC

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

## Provider details

- **NPI number:** 1164530366
- **Authorized official:** MR. DONALD LEVESQUE (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (215) 951-4596

## Contact information

- **Practice address:** 125 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3348
- **Practice address phone:** (215) 951-7630
- **Practice address fax:** (215) 844-8004
- **Mailing address:** 6950 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2120
- **Mailing address phone:** (215) 951-7630
- **Mailing address fax:** (215) 844-8004

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 03/14/2008