# QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY

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

## Provider details

- **NPI number:** 1699773655
- **Authorized official:** MR. ROBERT B HAYWARD JR. (PRESIDENT/CEO)
- **Authorized official phone:** (717) 786-5202

## Contact information

- **Practice address:** 625 ROBERT FULTON HWY, QUARRYVILLE, PA 17566-9202
- **Practice address phone:** (717) 786-7321
- **Practice address fax:** (717) 786-5288
- **Mailing address:** 625 ROBERT FULTON HWY, QUARRYVILLE, PA 17566-9202
- **Mailing address phone:** (717) 786-7321
- **Mailing address fax:** (717) 786-5288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 170102 | PA | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007496810002 | — | PA |
| 01 | — | 170102 | DEPT OF HEALTH | PA |