Provider Demographics
NPI:1790757607
Name:COUNTY OF YORK
Entity Type:Organization
Organization Name:COUNTY OF YORK
Other - Org Name:PLEASANT ACRES NURSING & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARLIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:717-840-7103
Mailing Address - Street 1:118 PLEASANT ACRES RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8975
Mailing Address - Country:US
Mailing Address - Phone:717-840-7103
Mailing Address - Fax:717-840-7414
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:717-840-7103
Practice Address - Fax:717-840-7414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-03
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA250102314000000X
332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007509400002Medicaid
PA395290Medicare ID - Type Unspecified
PA0007509400002Medicaid