Organization
COUNTRYSIDE CHRISTIAN COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY ELLEN ROHRER (ADMINISTRATOR)
(717) 867-4636
Entity
Organization
Contact information
Practice address
200 BELLANN CT, ANNVILLE, PA 17003-9012
(717) 867-4636
(717) 867-1332
Mailing address
200 BELLANN CT, ANNVILLE, PA 17003-9012
(717) 867-4636
(717) 867-1332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
470802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014899550001
—
PA
Enumeration date
08/13/2006
Last updated
08/22/2020
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