Organization
BRETHREN VILLAGE
Active
Other names
Brethren Village Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA S. FORMICA (VICE PRESIDENT OF FINANCE)
(717) 581-4234
Entity
Organization
Contact information
Practice address
3001 LITITZ PIKE, LANCASTER, PA 17606-5093
(717) 569-2657
(717) 581-4400
Mailing address
3001 LITITZ PIKE, PO BOX 5093, LANCASTER, PA 17606-5093
(717) 569-2657
(717) 581-4400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01009109
—
PA
Enumeration date
07/08/2005
Last updated
08/22/2020
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