# COUNTRY MEADOWS OF NORTHAMPTON ASSOCIATES, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** country meadows nursing center of bethlehem
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265432165
- **Authorized official:** MR. VINCENT J. MIZAK CPA (VP- FINANCE, ACCOUNTING, INFOR SRVS)
- **Authorized official phone:** (717) 533-2474

## Contact information

- **Practice address:** 4025 GREEN POND RD, BETHLEHEM, PA 18020-9662
- **Practice address phone:** (610) 882-4110
- **Practice address fax:** (610) 882-4311
- **Mailing address:** 830 CHERRY DR, HERSHEY, PA 17033-2007
- **Mailing address phone:** (717) 533-2474
- **Mailing address fax:** (717) 533-1014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 096802 | PA | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 08/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1026761200001 | — | PA |