Organization
DEVON MANOR-DEVON PA LLC
Active
Other names
Devon Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(610) 688-8080
(610) 995-2523
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
041202
PA
Other
Enumeration date
05/22/2006
Last updated
09/10/2008
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