# CLIVEDEN NURSING AND REHABILITATION CENTER PA, LP

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

## Provider details

- **NPI number:** 1497047310
- **Authorized official:** BARBARA MCADAMS (DIRECTOR OF ACCOUNTS RECEIVABLE)
- **Authorized official phone:** (410) 923-2415

## Contact information

- **Practice address:** 6400 GREENE ST, PHILADELPHIA, PA 19119-3231
- **Practice address phone:** (410) 923-2415
- **Practice address fax:** (410) 923-2416
- **Mailing address:** 1922 GREENSPRING DR, SUITE 3, TIMONIUM, MD 21093-7603
- **Mailing address phone:** (410) 923-2415
- **Mailing address fax:** (410) 923-2416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 330402 | PA | Yes |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 06/07/2011