Organization
MAIN LINE HOSPITALS, INC.
Active
Parent organization
MAIN LINE HOSPITALS, INC.
Other names
Lankenau Hospital Transitional Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAIN LINE HOSPITALS, INC.
Authorized official
MR. CHARLES J. ROGERS NHA (ADMINISTRATOR)
(610) 645-6400
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(610) 645-6400
(610) 645-3399
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(610) 645-6400
(610) 645-3399
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
120402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001730
KEYSTONE HEALTH PLAN HMO
PA
01
—
1427
AETNA
PA
01
—
1730
INDEPENDENCE BLUE CROSS P
PA
Enumeration date
09/26/2005
Last updated
10/19/2007
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