Organization
PARK LANE POST ACUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSS ELLENBOGEN (AUTHORIZED OFFICIAL)
(845) 490-6060
Entity
Organization
Contact information
Practice address
1615 E BOOT RD, WEST CHESTER, PA 19380-6005
(610) 436-6663
Mailing address
1615 E BOOT RD, WEST CHESTER, PA 19380-6005
(610) 436-6663
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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