Provider Demographics
NPI:1013715499
Name:MCLENDON, PATRICIA ANN (N/A)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:MCLENDON
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 S BUTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-1509
Mailing Address - Country:US
Mailing Address - Phone:215-758-3923
Mailing Address - Fax:
Practice Address - Street 1:140 S BUTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-1509
Practice Address - Country:US
Practice Address - Phone:215-758-3923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility