Organization
FREDERICK MENNONITE COMMUNITY
Active
Other names
Frederick Living-Cedarwood
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAGARTY (NHA)
(610) 754-7878
Entity
Organization
Contact information
Practice address
2849 BIG RD, ZIEGLERVILLE, PA 19492-1302
(610) 754-7878
(610) 754-6475
Mailing address
2849 BIG RD, ZIEGLERVILLE, PA 19492-1302
(610) 754-7878
(610) 754-6475
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
062002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000745092001
—
PA
Enumeration date
07/08/2005
Last updated
04/01/2024
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