Provider Demographics
NPI:1295729556
Name:SALISBURY RETIREMENT CENTER INC.
Entity type:Organization
Organization Name:SALISBURY RETIREMENT CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-383-4225
Mailing Address - Street 1:300 STRODE AVE
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2874
Mailing Address - Country:US
Mailing Address - Phone:610-383-4225
Mailing Address - Fax:610-383-4575
Practice Address - Street 1:41 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:CHRISTIANA
Practice Address - State:PA
Practice Address - Zip Code:17509-1305
Practice Address - Country:US
Practice Address - Phone:610-593-6901
Practice Address - Fax:610-593-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA080502314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015254870001Medicaid
PA395403Medicare Oscar/Certification