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Organization
PHOEBE BERKS HEALTH CARE CENTER INC
Active
Organization
PHOEBE BERKS HEALTH CARE CENTER INC
Active
Parent organization
PHOEBE BERKS HEALTH CARE CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOEBE BERKS HEALTH CARE CENTER INC
Authorized official
MR. SCOTT R STEVENSON (CEO/CFO)
(610) 794-5142
Entity
Organization
Contact information
Practice address
1 HEIDELBERG DR, WERNERSVILLE, PA 19565
(610) 927-8574
(610) 927-8422
Mailing address
1 READING DRIVE, WERNESVILLE, PA 19565
(610) 927-8574
(610) 927-8422
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
324414
PA
314000000X
Skilled Nursing Facility
Primary
167802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013042160001
—
PA
01
—
2079
HIGHMARK BLUE SHIELD
PA
01
—
324414
DEPT OF AGING
PA
01
—
395880
CAPITAL BLUE CROSS
PA
Enumeration date
07/08/2005
Last updated
12/02/2011
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