Provider Demographics
NPI:1487642658
Name:LANCASTER LEASING PARTNERSHIP
Entity Type:Organization
Organization Name:LANCASTER LEASING PARTNERSHIP
Other - Org Name:PALMYRA NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT LEHIGH NURSING CORP
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAYMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:610-264-8000
Mailing Address - Street 1:341 N RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-1328
Mailing Address - Country:US
Mailing Address - Phone:717-838-3011
Mailing Address - Fax:717-838-8335
Practice Address - Street 1:341 N RAILROAD ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-1328
Practice Address - Country:US
Practice Address - Phone:717-838-3011
Practice Address - Fax:717-838-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA161102314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007507380013Medicaid
PA1007507380013Medicaid
PA395506Medicare Oscar/Certification