Organization
PARK LANE AT BELLINGHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA BEATTY NHA (ADMINISTRATOR)
(484) 653-4420
Entity
Organization
Contact information
Practice address
1615 E BOOT RD, WEST CHESTER, PA 19380-6001
(484) 653-4400
(484) 653-4401
Mailing address
1615 E BOOT RD, WEST CHESTER, PA 19380-6001
(484) 653-4400
(484) 653-4401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
01150201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001273000
BLUE CROSS ID
PA
Enumeration date
09/30/2005
Last updated
08/22/2020
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