Organization
LUTHERCARE
Active
Other names
Spang Crest Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R MCALOOSE (PRESIDENT CEO)
(717) 626-1171
Entity
Organization
Contact information
Practice address
945 DUKE STREET, LEBANON, PA 17042-7216
(717) 274-1495
(717) 274-1592
Mailing address
600 EAST MAIN ST, LITITZ, PA 17543-2224
(717) 626-1171
(717) 626-1610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
193602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001260410029
—
PA
Enumeration date
10/03/2005
Last updated
01/17/2012
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