Organization
REST HAVEN NURSING CENTER WHITEMARSH INC
Active
Other names
Andorra Woods Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
9209 RIDGE PIKE, WHITEMARSH, PA 19128-1802
(610) 825-6560
(610) 941-9524
Mailing address
9209 RIDGE PIKE, WHITEMARSH, PA 19128
(610) 825-6560
(610) 941-9524
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
183202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007749810004
—
PA
Enumeration date
12/23/2005
Last updated
07/16/2014
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