Organization
COUNTRY MEADOWS OF NORTHAMPTON ASSOCIATES, LP
Active
Other names
country meadows nursing center of bethlehem
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT J. MIZAK CPA (VP- FINANCE, ACCOUNTING, INFOR SRVS)
(717) 533-2474
Entity
Organization
Contact information
Practice address
4025 GREEN POND RD, BETHLEHEM, PA 18020-9662
(610) 882-4110
(610) 882-4311
Mailing address
830 CHERRY DR, HERSHEY, PA 17033-2007
(717) 533-2474
(717) 533-1014
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
096802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026761200001
—
PA
Enumeration date
07/21/2005
Last updated
08/08/2012
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