Organization
MANOR CARE OF BETHLEHEM PA (2029), LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Bethlehem North)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
2029 WESTGATE DR, BETHLEHEM, PA 18017-7412
(610) 861-0100
(610) 861-5112
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
900402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10206470700001
—
PA
Enumeration date
05/22/2006
Last updated
02/09/2023
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