# THE MENNONITE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trillium Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770558512
- **Authorized official:** JOHN DAVID SAUDER (PRESIDENT/CEO)
- **Authorized official phone:** (717) 393-1301

## Contact information

- **Practice address:** 1520 HARRISBURG PIKE, LANCASTER, PA 17601-2632
- **Practice address phone:** (717) 393-1301
- **Practice address fax:** (717) 393-1389
- **Mailing address:** 1520 HARRISBURG PIKE, LANCASTER, PA 17601-2632
- **Mailing address phone:** (717) 393-1301
- **Mailing address fax:** (717) 393-1389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 184380 | PA | — |
| 311500000X | Alzheimer Center (Dementia Center) | 132102 | PA | — |
| 314000000X | Skilled Nursing Facility | 132102 | PA | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 07/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007515540001 | — | PA |