Organization
THE MENNONITE HOME
Active
Other names
Trillium Place
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID SAUDER (PRESIDENT/CEO)
(717) 393-1301
Entity
Organization
Contact information
Practice address
1520 HARRISBURG PIKE, LANCASTER, PA 17601-2632
(717) 393-1301
(717) 393-1389
Mailing address
1520 HARRISBURG PIKE, LANCASTER, PA 17601-2632
(717) 393-1301
(717) 393-1389
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
184380
PA
311500000X
Alzheimer Center (Dementia Center)
132102
PA
314000000X
Skilled Nursing Facility
Primary
132102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007515540001
—
PA
Enumeration date
02/22/2006
Last updated
07/15/2024
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