# CALVARY FELLOWSHIP HOMES, INC.

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

## Provider details

- **NPI number:** 1891806980
- **Authorized official:** MR. MARLIN WEAVER (PRESIDENT & CEO)
- **Authorized official phone:** (717) 393-0711

## Contact information

- **Practice address:** 502 ELIZABETH DR, LANCASTER, PA 17601-4406
- **Practice address phone:** (717) 393-0711
- **Practice address fax:** (717) 393-0998
- **Mailing address:** 502 ELIZABETH DR, LANCASTER, PA 17601-4406
- **Mailing address phone:** (717) 393-0711
- **Mailing address fax:** (717) 393-0998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030102 | PA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 01/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007452430001 | — | PA |