Organization
GREENLEAF NURSING AND CONVALESCENT, INC.
Active
Parent organization
ACCORDHEALTH SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACCORDHEALTH SERVICE
Authorized official
MR. JMAES M. MULROY JR. (VICE-PRESIDENT)
(610) 630-2400
Entity
Organization
Contact information
Practice address
400 S MAIN ST, DOYLESTOWN, PA 18901-4883
(215) 348-2980
(215) 348-0128
Mailing address
400 S MAIN ST, DOYLESTOWN, PA 18901-4883
(215) 348-2980
(215) 348-0128
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007910950001
—
PA
01
—
005930
BLUE CROSS HMO
PA
01
—
1040249
KEYSTONE MERCY
PA
01
—
53020
US HEALTH CARE
PA
01
—
5930
INDEPENDENCE BLUE CROSS
PA
Enumeration date
07/01/2005
Last updated
01/07/2016
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