Provider Demographics
NPI:1619459351
Name:PLEASANT ACRES OPERATING, LLC
Entity Type:Organization
Organization Name:PLEASANT ACRES OPERATING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOFIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-624-7575
Mailing Address - Street 1:8301 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2006
Mailing Address - Country:US
Mailing Address - Phone:215-951-8500
Mailing Address - Fax:
Practice Address - Street 1:118 PLEASANT ACRES RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8975
Practice Address - Country:US
Practice Address - Phone:717-840-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility