# REST HAVEN NURSING CENTER WHITEMARSH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Andorra Woods Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255318960
- **Authorized official:** MR. BRIAN REYNOLDS (CEO)
- **Authorized official phone:** (410) 513-8738

## Contact information

- **Practice address:** 9209 RIDGE PIKE, WHITEMARSH, PA 19128-1802
- **Practice address phone:** (610) 825-6560
- **Practice address fax:** (610) 941-9524
- **Mailing address:** 9209 RIDGE PIKE, WHITEMARSH, PA 19128
- **Mailing address phone:** (610) 825-6560
- **Mailing address fax:** (610) 941-9524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 183202 | PA | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 07/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007749810004 | — | PA |