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Organization

CHURCH OF THE BRETHREN HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS RECKNER NHA (ADMINISTRATOR)
(814) 467-5505
Entity
Organization

Contact information

Practice address
277 HOFFMAN AVE, WINDBER, PA 15963-2369
(814) 467-5505
(814) 361-6412
Mailing address
277 HOFFMAN AVE, WINDBER, PA 15963-2369
(814) 467-5505
(814) 361-6412

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032602
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007520410002
PA
01
0620
HIGHMARK BLUE CROSS
PA
01
1446138
UNITED MINE WORKERS
PA
Enumeration date
07/21/2005
Last updated
10/09/2008
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