Organization
OLD ORCHARD HEALTH CARE CENTER-EASTON PA, LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Old Orchard)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
4100 FREEMANSBURG AVE, EASTON, PA 18045-5540
(610) 330-9030
(610) 330-2305
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
09350200
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102064500001
—
PA
Enumeration date
05/25/2006
Last updated
01/27/2022
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