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Organization
REST HAVEN NURSING CENTER WHITEMARSH INC
Active
Organization
REST HAVEN NURSING CENTER WHITEMARSH INC
Active
Other names
Andorra Woods Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
9209 RIDGE PIKE, WHITEMARSH, PA 19128-1802
(610) 825-6560
(610) 941-9524
Mailing address
9209 RIDGE PIKE, WHITEMARSH, PA 19128
(610) 825-6560
(610) 941-9524
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
183202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007749810004
—
PA
Enumeration date
12/23/2005
Last updated
07/16/2014
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