Organization
SOUDERTON MENNONITE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD D. BRUBAKER (CEO)
(215) 368-4438
Entity
Organization
Contact information
Practice address
207 W SUMMIT ST, SOUDERTON, PA 18964-2054
(215) 723-9881
(215) 723-1442
Mailing address
207 W SUMMIT ST, SOUDERTON, PA 18964-2054
(215) 723-9881
(215) 723-1442
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010170020001
—
PA
Enumeration date
11/02/2005
Last updated
04/01/2009
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