Organization
MISERICORDIA CONVALESCENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION BITTNER (NURSING HOME ADMINISTRATOR)
(717) 755-1964
Entity
Organization
Contact information
Practice address
998 S RUSSELL ST, YORK, PA 17402-3542
(717) 755-1964
(717) 840-0010
Mailing address
998 S RUSSELL ST, YORK, PA 17402-3542
(717) 755-1964
(717) 840-0010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
133302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007479720001
—
PA
Enumeration date
09/02/2005
Last updated
06/23/2015
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