Organization
CHURCH OF GOD HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN J. REITER (PRESIDENT/CEO)
(717) 866-3200
Entity
Organization
Contact information
Practice address
801 N HANOVER ST, CARLISLE, PA 17013-1599
(717) 249-5322
(717) 254-1125
Mailing address
801 N HANOVER ST, CARLISLE, PA 17013-1599
(717) 249-5322
(717) 254-1125
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
291602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007476040001
—
PA
Enumeration date
01/23/2007
Last updated
02/12/2016
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