Provider Demographics
NPI:1932384963
Name:HARRISON SENIOR LIVING OF CHRISTIANA, LLC
Entity Type:Organization
Organization Name:HARRISON SENIOR LIVING OF CHRISTIANA, LLC
Other - Org Name:SALISBURY RETIREMENT CENTER, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRISON
Authorized Official - Middle Name:G
Authorized Official - Last Name:SAUNDERS
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021058190001Medicaid
PA395403Medicare Oscar/Certification