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Organization
SAINT MARTHA MANOR
Active
Organization
SAINT MARTHA MANOR
Active
Other names
St Martha Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CZEKNER (CHIEF FINANCIAL OFFICER)
(215) 368-0900
Entity
Organization
Contact information
Practice address
470 MANOR AVE, DOWNINGTOWN, PA 19335-2545
(610) 873-8490
(610) 873-5684
Mailing address
470 MANOR AVE, DOWNINGTOWN, PA 19335-2545
(610) 873-8490
(610) 873-5684
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
457402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011860410001
—
PA
01
—
523892
AETNA
PA
01
—
5683
IOC/KEYSTONE
PA
Enumeration date
12/15/2005
Last updated
01/19/2012
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