Organization
ST MARYS MANOR
Active
Parent organization
CATHOLIC HEALTH CARE SERVICES
Other names
St Marys Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC HEALTH CARE SERVICES
Authorized official
MR. MICHAEL CZEKNER (CHIEF FINANCIAL OFFICER)
(215) 368-0900
Entity
Organization
Contact information
Practice address
701 LANSDALE AVE, LANSDALE, PA 19446-2958
(215) 368-0900
(215) 368-5254
Mailing address
701 LANSDALE AVE, LANSDALE, PA 19446-2958
(215) 368-0900
(215) 368-5254
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
144490
PA
314000000X
Skilled Nursing Facility
Primary
451402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007491620001
—
PA
01
—
005684
IBC KEYSTONE
PA
Enumeration date
12/15/2005
Last updated
02/14/2012
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