Organization
SENIOR LIFE YORK, INC.
Active
Other names
Senior Life York
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT H HENNELL (DIRECTOR OF REIMBURSEMENT)
(412) 963-9150
Entity
Organization
Contact information
Practice address
1460 MEMORY LANE EXT, YORK, PA 17402-9602
(717) 757-5433
(717) 751-0392
Mailing address
209 SIGMA DR, PITTSBURGH, PA 15238-2826
(412) 963-9150
(412) 963-6676
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
253Z00000X
In Home Supportive Care Agency
19933601
PA
261QA0600X
Adult Day Care Clinic/Center
254600
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102381419-0001
—
PA
01
—
H0819
MEDICARE AGREEMENT NUMBER
PA
Enumeration date
08/21/2009
Last updated
09/26/2016
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