Basic Information
| Provider Information | |||||||||
| NPI: | 1407882053 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LIFECARE HOSPITALS OF CHESTER COUNTY INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5560 TENNYSON PKWY | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750243532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692412100 | ||||||||
| FaxNumber: | 4692415198 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 E MARSHALL ST | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193805412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848260400 | ||||||||
| FaxNumber: | 4848260499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2006 | ||||||||
| LastUpdateDate: | 02/22/2008 | ||||||||
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| AuthorizedOfficialLastName: | CRONIN | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT OF REIMBURSEMENT | ||||||||
| AuthorizedOfficialTelephone: | 4692412128 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | CPA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282E00000X | 1873 | PA | Y | Hospitals | Long Term Care Hospital |
No ID Information.