Organization
MANOR'S CORP
Active
Other names
VILLAGE VISTA MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA GENOESE-FULMER NHA (NURSING HOME ADMINISTRATOR)
(717) 397-5583
Entity
Organization
Contact information
Practice address
1941 BENMAR DR, LANCASTER, PA 17603-4418
(717) 397-5583
(717) 397-5093
Mailing address
PO BOX 7001, LANCASTER, PA 17604-7001
(717) 397-5583
(717) 397-5093
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018957820001
—
PA
Enumeration date
04/24/2007
Last updated
06/20/2008
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