Organization
HANOVER HEALTHCARE, INC
Active
Other names
Havover Hall Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W BRICKER (VICE-PRESIDENT)
(717) 854-7857
Entity
Organization
Contact information
Practice address
267 FREDERICK ST, HANOVER, PA 17331-3614
(717) 637-8937
(717) 637-3939
Mailing address
267 FREDERICK ST, HANOVER, PA 17331-3614
(717) 637-8937
(717) 637-3939
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
590102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0886297
—
PA
Enumeration date
07/21/2005
Last updated
01/22/2010
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