Organization
LEBANON COUNTY COMMISSIONERS
Active
Other names
Cedar Haven Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD W. SCHLEGEL JR. N.H.A. (AMINISTRATOR)
(717) 274-0421
Entity
Organization
Contact information
Practice address
590 S 5TH AVE, LEBANON, PA 17042-9195
(717) 274-0421
(717) 274-5501
Mailing address
590 S 5TH AVE, LEBANON, PA 17042-9195
(717) 274-0421
(717) 274-5501
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
290702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000048620009
—
PA
01
—
395093
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/03/2006
Last updated
04/20/2012
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