Camilla Hall Nursing Home
Organization Active NPI Nursing Facility/Intermediate Care Facility · Immaculata, PA
NPI 1811101199 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1811101199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- NOT LICENSED
- Legal business name
- CAMILLA HALL NURSING HOME
- Practice address
- 1145 King Road
Immaculata, PA 19345-0100 - Phone
- (610) 644-1152
- Fax
- (610) 695-0691
- NPI assigned
- May 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Margaret Barbara Gradl
- Title
- Administrator
- Phone
- (610) 644-1152
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Camilla Hall Infirmary
Locations
1145 King Rd
Immaculata, PA 19345
Phone (610) 644-1152
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NOT LICENSED | Yes |
Addresses
Primary practice location
1145 King Road
Immaculata, PA 19345-0100
Mailing address
1145 King Road
Immaculata, PA 19345-0100
Phone (610) 644-1152
Other providers in Immaculata, PA
All providers in Immaculata, PA · Nursing Facility/Intermediate Care Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.