# CHURCH OF GOD HOME INC

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

## Provider details

- **NPI number:** 1659425957
- **Authorized official:** MR. STEVEN J. REITER (PRESIDENT/CEO)
- **Authorized official phone:** (717) 866-3200

## Contact information

- **Practice address:** 801 N HANOVER ST, CARLISLE, PA 17013-1599
- **Practice address phone:** (717) 249-5322
- **Practice address fax:** (717) 254-1125
- **Mailing address:** 801 N HANOVER ST, CARLISLE, PA 17013-1599
- **Mailing address phone:** (717) 249-5322
- **Mailing address fax:** (717) 254-1125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 291602 | PA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 02/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007476040001 | — | PA |