Organization
PHOEBE RICHLAND HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT STEVENSON (CHIEF FINANCIAL OFFICER)
(610) 794-5142
Entity
Organization
Contact information
Practice address
108 S MAIN ST, RICHLANDTOWN, PA 18955-1048
(267) 371-4525
(267) 371-4670
Mailing address
1925 W TURNER ST, ALLENTOWN, PA 18104-5513
(610) 794-5010
(610) 794-5400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
260302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018166900001
—
PA
01
—
2533957
AETNA US HEALTHCARE
PA
01
—
6275
INDEPENDENCE BLUE CROSS
PA
Enumeration date
07/08/2005
Last updated
08/22/2020
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