Organization
COUNTY OF DELAWARE
Active
Other names
fair acres geriatric center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G D'AIMCO NHA (ADMINISTRATOR)
(610) 891-5700
Entity
Organization
Contact information
Practice address
340 N MIDDLETOWN RD, LIMA, PA 19037-0496
(610) 891-5700
(610) 891-2705
Mailing address
340 N MIDDLETOWN RD, LIMA, PA 19037-0496
(610) 891-5700
(610) 891-2705
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000064640017
—
PA
Enumeration date
07/07/2005
Last updated
09/25/2012
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