# MISERICORDIA CONVALESCENT HOME

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

## Provider details

- **NPI number:** 1700870920
- **Authorized official:** MARION BITTNER (NURSING HOME ADMINISTRATOR)
- **Authorized official phone:** (717) 755-1964

## Contact information

- **Practice address:** 998 S RUSSELL ST, YORK, PA 17402-3542
- **Practice address phone:** (717) 755-1964
- **Practice address fax:** (717) 840-0010
- **Mailing address:** 998 S RUSSELL ST, YORK, PA 17402-3542
- **Mailing address phone:** (717) 755-1964
- **Mailing address fax:** (717) 840-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 133302 | PA | Yes |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 06/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007479720001 | — | PA |