# KUTZTOWN MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACCORD HEALTH SERVICE, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881691145
- **Legal business name:** ACCORD HEALTH SERVICE, INC.
- **Authorized official:** MR. JAMES M. MULROY JR. (VICE PRESIDENT)
- **Authorized official phone:** (610) 630-2400

## Contact information

- **Practice address:** 120 TREXLER AVE, KUTZTOWN, PA 19530-9707
- **Practice address phone:** (610) 683-6220
- **Practice address fax:** (610) 683-6849
- **Mailing address:** 120 TREXLER AVE, KUTZTOWN, PA 19530-9707
- **Mailing address phone:** (610) 683-6220
- **Mailing address fax:** (610) 683-6849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 111702 | PA | Yes |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 01/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009851970001 | — | PA |
| 01 | — | 20033735 | AMERIHEALTH | PA |