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Organization

GREENRIDGE LEASING PARTNERSHIP

Active
Other names
Butler Valley Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANCIS A HAYMAN JR. (PRESIDENT LEHIGH NURSING CORP)
(610) 264-8000
Entity
Organization

Contact information

Practice address
463 N HUNTER HWY, DRUMS, PA 18222-2129
(570) 788-4175
(570) 788-4777
Mailing address
463 N HUNTER HWY, DRUMS, PA 18222-2129
(570) 788-4175
(570) 788-4777

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
283802
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007717380002
PA
Enumeration date
10/12/2005
Last updated
09/19/2008
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