NPI 1376150409

Watermark Park Lane, LLC

Organisation Skilled Nursing Facility West Chester, PA

Practice location

Address: 1615 E Boot Rd, West Chester, PA 19380-6001
Phone: (484) 714-0490
Mailing address: 2020 W Rudasill Rd C/O Licensing, Tucson, AZ 85704

Authorised official

Name: David Freshwater
Title: Authorized Official
Phone: (520) 797-4000

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Pennsylvania →

Registry record

NPI: 1376150409
Entity type: Organization
NPI issued: 23 Sep 2020
Record last updated: 19 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.