Provider Demographics
NPI:1215132535
Name:WELLINGTON COURT AT HERSHEY'S MILL INC
Entity type:Organization
Organization Name:WELLINGTON COURT AT HERSHEY'S MILL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-653-1200
Mailing Address - Street 1:1361 E BOOT RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5988
Mailing Address - Country:US
Mailing Address - Phone:484-653-1200
Mailing Address - Fax:484-653-1201
Practice Address - Street 1:1361 E BOOT RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5988
Practice Address - Country:US
Practice Address - Phone:484-653-1200
Practice Address - Fax:484-653-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility