# FOULKEWAYS AT GWYNEDD

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

## Provider details

- **NPI number:** 1730182189
- **Authorized official:** MRS. EDNA MARIE CRISTINZIO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (215) 283-7002

## Contact information

- **Practice address:** 1120 MEETINGHOUSE RD, GWYNEDD, PA 19436-1000
- **Practice address phone:** (216) 643-2200
- **Practice address fax:** (215) 646-2917
- **Mailing address:** 1120 MEETINGHOUSE RD, GWYNEDD, PA 19436-1000
- **Mailing address phone:** (216) 643-2200
- **Mailing address fax:** (215) 646-2917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 144230 | PA | — |
| 314000000X | Skilled Nursing Facility | 060902 | PA | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 11/05/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002612 | HIGHMARK MEDICARE SERVICE | PA |
| 01 | — | 5862 | HIGHMARK BLUE SHIELD | PA |