- Enrollment id
- O20060803000307
- Enrollment state
- PA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1760436828
- Multiple npi flag
- N
- Ccn
- 395019
- Associate id
- 8820001183
- Organization name
- PLYMOUTH HEALTHCARE ASSOCIATES, LLC
- Doing business as name
- ARISTACARE AT MEADOW SPRINGS
- Incorporation date
- 2006-03-22
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- ARISTACARE AT MEADOW SPRINGS
- Affiliation entity name
- ARISTACARE
- Affiliation entity id
- 45
- Address line 1
- 845 GERMANTOWN PIKE
- City
- PLYMOUTH MEETING
- State
- PA
- Zip code
- 194622566