Organization
BRETHREN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY L MARTZALL (VICE PRESIDENT OF FINANCE)
(717) 581-4234
Entity
Organization
Contact information
Practice address
3001 LITITZ PIKE, LITITZ, PA 17543-9414
(717) 569-2657
(717) 581-4400
Mailing address
3001 LITITZ PIKE, LITITZ, PA 17543-9414
(717) 569-2657
(717) 581-4400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
282602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001262480003
—
PA
Enumeration date
06/20/2005
Last updated
06/17/2019
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