Provider Demographics
NPI:1831184506
Name:MORAVIAN MANORS INC
Entity type:Organization
Organization Name:MORAVIAN MANORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SWARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NHA, MBA
Authorized Official - Phone:717-626-0214
Mailing Address - Street 1:300 W LEMON ST
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-2311
Mailing Address - Country:US
Mailing Address - Phone:717-626-0214
Mailing Address - Fax:
Practice Address - Street 1:300 W LEMON ST
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-2311
Practice Address - Country:US
Practice Address - Phone:717-626-0214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1002275810002Medicaid
395325Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER