Organization
PHHA, LLC
Active
Other names
Haverford Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARALEE RUNGE (OFFICE MANAGER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
2050 OLD WEST CHESTER PIKE, HAVERTOWN, PA 19083-2712
(610) 449-8600
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
(847) 329-4100
(847) 329-4900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-5173
MEDICARE
—
Enumeration date
02/24/2009
Last updated
02/24/2009
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