# MARY ELLEN CONVALESCENT HOME INC

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

## Provider details

- **NPI number:** 1649268921
- **Authorized official:** MRS. NANCY J KECK ADM., RN. (ADMINISTRATOR PRESIDENT)
- **Authorized official phone:** (610) 838-7901

## Contact information

- **Practice address:** 1896 LEITHSVILLE RD, HELLERTOWN, PA 18055-2505
- **Practice address phone:** (610) 838-7901
- **Practice address fax:** (610) 838-8347
- **Mailing address:** 1896 LEITHSVILLE RD, HELLERTOWN, PA 18055-2505
- **Mailing address phone:** (610) 838-7901
- **Mailing address fax:** (610) 838-8347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 390202 | PA | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 01/29/2008