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Organization
CUMBERLAND COUNTY
Active
Organization
CUMBERLAND COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SOTO (NURSING HOME ADMINISTRATOR)
(732) 503-2913
Entity
Organization
Contact information
Practice address
1000 CLAREMONT RD, CARLISLE, PA 17013-7310
(717) 243-2031
(717) 240-1952
Mailing address
1 COURT HOUSE SQ, RM 207, CARLISLE, PA 17013-3323
(717) 243-2031
(717) 240-1952
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
037602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000073090009
—
PA
Enumeration date
06/09/2005
Last updated
11/18/2015
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