# PHHA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haverford Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760622161
- **Authorized official:** MARALEE RUNGE (OFFICE MANAGER)
- **Authorized official phone:** (847) 329-4100

## Contact information

- **Practice address:** 2050 OLD WEST CHESTER PIKE, HAVERTOWN, PA 19083-2712
- **Practice address phone:** (610) 449-8600
- **Mailing address:** 7444 LONG AVE, SKOKIE, IL 60077-3214
- **Mailing address phone:** (847) 329-4100
- **Mailing address fax:** (847) 329-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 02/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 39-5173 | MEDICARE | — |