Organization
HANOVER HEALTH CORPORATION, INC.
Active
Parent organization
HANOVER HEALTH CORPORATION, INC.
Other names
Physical Medicine Specialist of Hanover
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANOVER HEALTH CORPORATION, INC.
Authorized official
MS. MARILYN A. OLEJNIK (CHIEF FINANCIAL OFFICER)
(717) 633-3511
Entity
Organization
Contact information
Practice address
250 FAME AVE, SUITE 100, HANOVER, PA 17331-1587
(717) 646-6915
(717) 646-6919
Mailing address
250 FAME AVE, SUITE 100, HANOVER, PA 17331-1587
(717) 646-6915
(717) 646-6919
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007777780013
—
PA
Enumeration date
09/27/2007
Last updated
09/27/2007
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