Organization
KNOLLWOOD MANOR, INC
Active
Other names
Knollwood Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
899 CECIL AVE S, MILLERSVILLE, MD 21108-2111
(410) 923-2020
(410) 987-1660
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02-010
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019381100
—
DC
05
—
023517200
—
MD
01
—
02DI
CAREFIRST - PROV/INQ#
—
01
—
0820241
AETNA-HMO
—
01
—
08943
AMERIGROUP
—
01
—
240544
UNITED - MAMSI
—
01
—
71-00198
UNITED-EVERCARE
—
01
—
MK5
CAREFIRST - IND/PPO
—
Enumeration date
06/08/2006
Last updated
06/21/2018
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