- Enrollment id
- O20080926000291
- Enrollment state
- PA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1114174703
- Multiple npi flag
- N
- Ccn
- 396122
- Associate id
- 4688741044
- Organization name
- FOX SUBACUTE AT MECHANICSBURG, LLC
- Incorporation date
- 2008-10-01
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- FOX SUBACUTE AT MECHANICSBURG
- Address line 1
- 120 SOUTH FILBERT STREET
- City
- MECHANICSBURG
- State
- PA
- Zip code
- 170556539