Organization
MARKGLEN, INC.
Active
Other names
Shenandoah Health Village Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
50 MULBERRY TREE STREET, CHARLES TOWN, WV 25414-1170
(304) 724-1101
(304) 724-1105
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
138
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003718000
—
WV
01
—
027B
CAREFIRST PROV/INQ#
—
01
—
250762
AETNA-HMO
—
01
—
282248
UNITED - MAMSI
—
01
—
PY4
CAREFIRST - IND/PPO
—
Enumeration date
06/20/2006
Last updated
08/17/2018
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