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Organization
GREEN ACRES REHABILITATION & NURSING CENTER
Active
Organization
GREEN ACRES REHABILITATION & NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN SEGAL (PRESIDENT)
(215) 357-6055
Entity
Organization
Contact information
Practice address
1401 IVY HILL RD, WYNDMOOR, PA 19150-1516
(215) 357-6055
(215) 357-6968
Mailing address
4 IVYBROOK BLVD, IVYLAND, PA 18974-1700
(215) 357-6055
(215) 357-6968
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
591902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005891000
KEYSTONE 65
—
05
—
0095121400001
—
PA
01
—
0095121401
AMERICHOICE
—
01
—
1027618
KEYSTONE MERCY HEALTHPLAN
—
01
—
13111
AETNA US HEALTHCARE
—
01
—
25206
GREEN ACRES
—
01
—
PA235
ELDERHEALTH
PA
Enumeration date
04/10/2006
Last updated
07/21/2022
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