# CORNWALL MANOR

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

## Provider details

- **NPI number:** 1508857897
- **Authorized official:** STEVEN HASSINGER (PRESIDENT)
- **Authorized official phone:** (717) 273-2647

## Contact information

- **Practice address:** 1 BOYD STREET, CORNWALL, PA 17016
- **Practice address phone:** (717) 273-2647
- **Practice address fax:** (717) 274-8090
- **Mailing address:** 1 BOYD STREET, P.O. BOX 125, CORNWALL, PA 17016
- **Mailing address phone:** (717) 273-2647
- **Mailing address fax:** (717) 274-8090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 033902 | PA | Yes |

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 08/22/2020