Organization
WALLINGFORD NURSING AND REHABILITATION CENTER-WALLINGFORD PA, LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Wallingford)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
115 S PROVIDENCE RD, WALLINGFORD, PA 19086-6333
(610) 565-3232
(610) 892-0830
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020575240001
—
PA
Enumeration date
05/28/2006
Last updated
01/31/2022
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