# MANOR CARE OF ALLENTOWN PA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ProMedica Skilled Nursing and Rehabilitation (Allentown)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790739795
- **Authorized official:** MR. MARTIN D ALLEN (DIRECTOR)
- **Authorized official phone:** (419) 252-5743

## Contact information

- **Practice address:** 1265 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6293
- **Practice address phone:** (610) 776-7522
- **Practice address fax:** (610) 776-0270
- **Mailing address:** 333 N SUMMIT ST, TOLEDO, OH 43604-1531
- **Mailing address phone:** (419) 252-5500
- **Mailing address fax:** (877) 385-9446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 381102 | PA | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 03/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1020604300001 | — | PA |