Provider Demographics
NPI:1588722813
Name:MEADOWOOD CORPORATION
Entity type:Organization
Organization Name:MEADOWOOD CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WISNIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-584-1000
Mailing Address - Street 1:3205 SKIPPACK PIKE
Mailing Address - Street 2:PO BOX 670
Mailing Address - City:WORCESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19490-0670
Mailing Address - Country:US
Mailing Address - Phone:610-584-3633
Mailing Address - Fax:610-584-3978
Practice Address - Street 1:3205 SKIPPACK PIKE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:PA
Practice Address - Zip Code:19490-0670
Practice Address - Country:US
Practice Address - Phone:610-584-3633
Practice Address - Fax:610-584-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA771105251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA397711Medicare ID - Type UnspecifiedMEDICARE
PA397711AMedicare ID - Type UnspecifiedMEDICARE