Organization
SAINT MARTHA MANOR
Active
Other names
St Martha Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CZEKNER (CHIEF FINANCIAL OFFICER)
(215) 368-0900
Entity
Organization
Contact information
Practice address
470 MANOR AVE, DOWNINGTOWN, PA 19335-2545
(610) 873-8490
(610) 873-5684
Mailing address
470 MANOR AVE, DOWNINGTOWN, PA 19335-2545
(610) 873-8490
(610) 873-5684
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
457402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011860410001
—
PA
01
—
523892
AETNA
PA
01
—
5683
IOC/KEYSTONE
PA
Enumeration date
12/15/2005
Last updated
01/19/2012
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