Organization
THE MEADOWOOD CORPORATION
Active
Other names
Meadowood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL NORDEMAN NHA (EXECUTIVE DIRECTOR)
(610) 584-3607
Entity
Organization
Contact information
Practice address
3205 SKIPPACK PIKE, WORCESTER, PA 19490-0670
(610) 584-1000
(610) 584-3645
Mailing address
3205 SKIPPACK PIKE, PO BOX 670, WORCESTER, PA 19490-0670
(610) 584-1000
(610) 584-3645
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
771105
PA
310400000X
Assisted Living Facility
175080
PA
314000000X
Skilled Nursing Facility
Primary
392602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1244
BLUE CROSS PROVIDER NUMBE
PA
01
—
605498
AETNA SNF PROVIDER NUMBER
PA
01
—
71-01050
EVERCARE PROVIDER NUMBER
PA
Enumeration date
07/12/2005
Last updated
08/25/2022
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