- Enrollment id
- O20250414003353
- Enrollment state
- PA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1396565719
- Multiple npi flag
- N
- Ccn
- 396144
- Associate id
- 3173048964
- Organization name
- EXTON OPERATOR LLC
- Doing business as name
- EXTON POST ACUTE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- EXTON POST ACUTE
- Affiliation entity name
- MARQUIS HEALTH SERVICES
- Affiliation entity id
- 336
- Address line 1
- 501 THOMAS JONES WAY
- City
- EXTON
- State
- PA
- Zip code
- 193412531