Provider Demographics
NPI:1699183988
Name:SABER MEDICAL
Entity Type:Organization
Organization Name:SABER MEDICAL
Other - Org Name:BROOMALL MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REHAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIANNA
Authorized Official - Suffix:
Authorized Official - Credentials:DPS
Authorized Official - Phone:610-356-3003
Mailing Address - Street 1:43 CHURCH LN
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-2503
Mailing Address - Country:US
Mailing Address - Phone:610-356-3003
Mailing Address - Fax:
Practice Address - Street 1:43 CHURCH LN
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-2503
Practice Address - Country:US
Practice Address - Phone:610-356-3003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000411L314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility