Section 18. Appendix

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1 In this section Page Facility identification numbers 18.1 Typical covered services Typical exclusions Sample identification cards Highmark Blue Shield ClassicBlue Indemnity ClassicBlue Comprehensive PPOBlue DirectBlue SelectBlue Signature Resource materials available to network providers Member consent to permit healthcare provider to file grievance List of outpatient procedures requiring preauthorization Request for Nonformulary Drug Coverage Form Prescription Drug Prior Authorization Form Central Region Referral Request Form DirectBlue member roster SelectBlue member roster 18.76

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3 Facility Identification Numbers HOSPITALS AND SKILLED NURSING FACILITIES ABINGTON CREST NURSING CENTER ALPHANUMERIC: AB South Hills Road Erie, PA ABINGTON MANOR ALPHANUMERIC: AB Edella Road Clarks Summit, PA ABINGTON MEM HOSP ALPHANUMERIC: AB York Road Abington, PA ADAMS MANOR ALPHANUMERIC: AD Adams Avenue Scranton, PA ALBERT EINSTEIN MED CTR ALPHANUMERIC: AL Old York Rd Phila, PA ALBRIGHT CARE SERVICES ALPHANUMERIC: AL River Road Lewisburg, PA ALIQUIPPA COMMUNITY HOSPITAL ALPHANUMERIC: AL Hospital Dr Aliquippa, PA ALIQUIPPA COMMUNITY HOSPITAL SNF ALPHANUMERIC: AL Hospital Drive Aliquippa, PA ALLE KISKI MEDICAL CENTER ALPHANUMERIC: AL Carlisle Street Natrona Heights, PA ALLEGHENY GENERAL HOSPITAL ALPHANUMERIC: AL E North Avenue Pittsburgh, PA ALLENTOWN STATE HOSPITAL ALPHANUMERIC: AL Hanover Street Allentown, PA ALLIED SER FOR HANDICAP ALPHANUMERIC: AL Morgan Highway Scranton, PA ALLIED SERVICES LTC FACILITY ALPHANUMERIC: AL Smallacombe Drive Scranton, PA ALTOONA HOSPITAL ALPHANUMERIC: AL Howard Avenue Altoona, PA AMBLER REST CENTER NURSING HOME ALPHANUMERIC: AM Bethlehem Park Butler Park Ambler, PA ANGELA JAMES PAVILLION ALPHANUMERIC: AN Roosevelt Boulevard Philadelphia, PA ARBOR VIEW ALPHANUMERIC: AR Willow Valley Square Lancaster, PA ARBUTUS PARK MANOR ALPHANUMERIC: AR Ottawa Street Johnstown, PA ARMSTRONG COUNTY HEALTH CENTER ALPHANUMERIC: AR S McKean Street Kittanning, PA ARMSTRONG COUNTY MEMORIAL HOSPITAL ALPHANUMERIC: AR One Nolte Drive Kittanning, PA ARMSTRONG COUNTY MEMORIAL HOSPITAL SNF ALPHANUMERIC: AR One Nolte Drive Kittanning, PA ARTMAN LUTHERAN HOME ALPHANUMERIC: AR Bethlehem Pike Attn Business Office Ambler, PA ASBURY HEALTH CENTER ALPHANUMERIC: AS Bower Hill Road Pittsburgh, PA ASHLAND MEDICAL CENTER ALPHANUMERIC: AS Broad Street Ashland, PA

4 ASHTON HALL NRSG REHAB CENTER ALPHANUMERIC: AS Red Lion Road Phila, PA ASSOCIATES RETARDED CITIZENS BUCK COUNTY ALPHANUMERIC: AS Harvey Avenue Doylestown, PA ATRIUM I ALPHANUMERIC: AT Campbells Run Road Pittsburgh, PA ATTLEBORO NURSING REHAB CENTER ALPHANUMERIC: AT E Winchester Avenue Langhorne, PA AUDUBON VILLA ALPHANUMERIC: AU S Broad Street Lititz, PA AUTUMN GROVE CARE CENTER ALPHANUMERIC: AU Main Street Harrisville, PA AVALON NURSING CENTER ALPHANUMERIC: AV West Pittsburg Rd New Castle, PA BALA NURSING RETIREMENT CENTER ALPHANUMERIC: BA Ford Road Phila, PA BALANCE CARE BLOOMSBURG ALPHANUMERIC: BA Ridge Road Bloomsburg, PA BALDOCK HEALTH CARE CENTRE ALPHANUMERIC: BA Barnes Lake Road North Huntingdon, PA BALDWIN HEALTH CENTER INC ALPHANUMERIC: BA Skyline Drive Pittsburgh, PA BALL PAVILION INC ALPHANUMERIC: BA East Lake Road Erie, PA BAPTIST HOME-PHILA ALPHANUMERIC: BA Roosevelt Boulevard Phila, PA BAPTIST HOMES NSRG-CENTER ALPHANUMERIC: BA Castle Shannon Boulevard Pittsburgh, PA BARBARA J EGAN REHAB CENTER ALPHANUMERIC: BA Luther Road Shrewsbury, PA BARCLAY FRIENDS ALPHANUMERIC: BA N Franklin Street West Chester, PA BARNES-KASSON CO SKILLED NURSING FACILITY ALPHANUMERIC: BA Turnpike Street Susquehanna, PA BARNES-KASSON COUNTY HOSPITAL ALPHANUMERIC: BA Turnpike Street Susquehanna, PA BEACON MANOR ALPHANUMERIC: BE Wayne Avenue Indiana, PA BEACON RIDGE ALPHANUMERIC: BE Wayne Avenue Indiana, PA BEAUMONT AT BRYN MAWR ALPHANUMERIC: BE N Ithan Avenue Bryn Mawr, PA BEAVER ELDER CARE AND REHAB CTR ALPHANUMERIC: BE Golfcourse Road Aliquippa, PA BEAVER VALLEY NURSING AND REHAB CENTER ALPHANUMERIC: BE Georgetown Road Beaver Falls, PA BELAIR HEALTH AND REHABILITATION CENTER ALPHANUMERIC: BE Little Road Lower Burrell, PA BELLE HAVEN INC ALPHANUMERIC: BE Mill Road Quakertown, PA BELMONT CENTER ALPHANUMERIC: BE Monument Road Phila, PA

5 BELVEDERE NURSING HOME ALPHANUMERIC: BE Chestnut Street Chester, PA BERKS CTY HOME BERKS HEIM ALPHANUMERIC: BE County Welfare Road Leesport, PA BERKSHIRE MANOR NURSING AND REHAB CENTER ALPHANUMERIC: BE Perkiomen Avenue Reading, PA BERWICK HOSPITAL CENTER ALPHANUMERIC: BE E 16th Street Berwick, PA BERWICK RETIREMENT VILLAGE NURSING HOME I ALPHANUMERIC: BE E 16th Street Berwick, PA BERWICK RETIREMENT VILLAGE NURS HOME II ALPHANUMERIC: BE East 16th Str Berwick, PA BETAK ALPHANUMERIC: BE McCqllum Street Phila, PA BETHANY VILLAGE RETIREMENT CENTER ALPHANUMERIC: BE Wesley Drive Mechanicsburg, PA BETHLEN HOME OF THE HUNGARIAN ALPHANUMERIC: BE Kalassay Drive Ligonier, PA BEVERLY HEALTHCARE -MONROEVILLE ALPHANUMERIC: BE Monroeville Blvd Monroeville, PA BEVERLY HEALTHCARE-CAMBRIDGE SPRINGS ALPHANUMERIC: BE Canfield Street Cambridge Springs, PA BEVERLY HEALTHCARE-ERIE ALPHANUMERIC: BE Peach Street Erie, PA BEVERLY HEALTHCARE-MEADVILLE ALPHANUMERIC: BE Park Avenue Extension Meadville, PA BEVERLY HEALTHCARE- MOUNT LEBANON ALPHANUMERIC: BE Old Gilkenson Road Pittsburgh, PA BEVERLY HEALTHCARE- MURRYSVILLE ALPHANUMERIC: BE Logan Ferry Road Murrysville, PA BEVERLY HEALTHCARE-OAKMONT ALPHANUMERIC: BE Ann Street Oakmont, PA BEVERLY HEALTHCARE-RICHLAND ALPHANUMERIC: BE Vo-Tech Drive Johnstown, PA BEVERLY HEALTHCARE-TITUSVILLE ALPHANUMERIC: BE Dillion Drive Titusville, PA BEVERLY HEALTHCARE-WESTERN RESERVE ALPHANUMERIC: BE W 54th Street Erie, PA BEVERLY HEALTHCARE 0280 ALPHANUMERIC: BE Summit Dr Lewistown, PA BEVERLY HEALTHCARE GETTYSBURG ALPHANUMERIC: BE Chambersburg Road Gettysburg, PA BEVERLY HEALTHCARE H A I D A MANOR ALPHANUMERIC: BE Third Avenue Extension Hastings, PA BEVERLY HEALTHCARE HILLVIEW ALPHANUMERIC: BE S Cayuga Avenue Altoona, PA BEVERLY HEALTHCARE KINZUA VALLEY ALPHANUMERIC: BE Water Street Warren, PA BEVERLY HEALTHCARE MEYERSDALE ALPHANUMERIC: BE Hospital Drive Meyersdale, PA BEVERLY HEALTHCARE MONROEVILLE ALPHANUMERIC: BE Monroeville Boulevard Monroeville, PA BEVERLY HEALTHCARE OIL CITY ALPHANUMERIC: BE Grandview Road Oil City, PA

6 BEVERLY HEALTHCARE POTTSVILLE ALPHANUMERIC: BE W Market St Pottsville, PA BEVERLY HEALTHCARE SHIPPENVILLE ALPHANUMERIC: BE Paint Blvd Shippenville, PA BEVERLY HEALTHCARE SOUTH HILLS ALPHANUMERIC: BE Village Drive Canonsburg, PA BEVERLY HEALTHCARE UNIONTOWN ALPHANUMERIC: BE Franklin Avenue Uniontown, PA BEVERLY HEALTHCARE WAYNESBURG ALPHANUMERIC: BE Rd2 300 Center Avenue Waynesburg, PA BEVERLY HEALTHCARE-CLARION ALPHANUMERIC: BE Heidrick Street Clarion, PA BEVERLY HEALTHCARE-MOUNTAINVIEW ALPHANUMERIC: BE Mountain View Hillsdale, PA BEVERLY MANOR OF LANCASTER ALPHANUMERIC: BE North Duke Street Lancaster, PA BEVERLY MANOR OF READING ALPHANUMERIC: BE Fairlane Road Mt Penn, PA BIRCHWOOD NURSING AND REHAB CENTER ALPHANUMERIC: BI E Middle Road Nanticoke, PA BLAIR NURSING HOME INC ALPHANUMERIC: BL RR 2 Mercer Road Beaver Falls, PA BLAKELY PINE HLTH CARE CTR ALPHANUMERIC: BL Sanderson Avenue Scranton, PA BLAKELY PINE HLTH CARE CTR ALPHANUMERIC: BL Sturges Rd Peckville, PA BLOOMSBURG HEALTH CARE CTR ALPHANUMERIC: BL E First Street Bloomsburg, PA BLOOMSBURG HOSPITAL ALPHANUMERIC: BL Fair Street Bloomsburg, PA BLOUGH HEALTH CARE CENTER INC ALPHANUMERIC: BL E Market Street Bethlehem, PA BLUE RIDGE HAVEN EAST ALPHANUMERIC: BL N Progress Avenue Harrisburg, PA BMH TRANSITIONAL CARE CENTER ALPHANUMERIC: BM S Bryn Mawr Bryn Mawr, PA BON SECOURS HOLY FAMILY REG HEALTH SYSTEM ALPHANUMERIC: BO Seventh Avenue Altoona, PA BONHAM NURSING CENTER ALPHANUMERIC: BO R R 1 Box 64 Stillwater, PA BOULEVARD NURSING HOME ALPHANUMERIC: BO Roosevelt Boulevard Phila, PA BRADFORD CO MANOR ALPHANUMERIC: BR RR 3 Box 322 Troy, PA BRADFORD MANOR ALPHANUMERIC: BR Langmaid Lane Bradford, PA BRADFORD NURSING PAVILION ALPHANUMERIC: BR Pleasant Street Bradford, PA BRADFORD REGIONAL MEDICAL CENTER ALPHANUMERIC: BR Interstate Parkway Bradford, PA BRANDYWINE HALL ALPHANUMERIC: BR W Miner Street West Chester, PA BRANDYWINE HOSPITAL ALPHANUMERIC: BR Reeceville Road Coatesville, PA

7 BRETHREN HOME NEW OXFORD ALPHANUMERIC: BR Rts 30 and 94 RD 3 New Oxford, PA BRETHREN VILLAGE RETIREMENT COMMUNITY ALPHANUMERIC: BR Lititz Pike Lancaster, PA BRIARCLIFF LEASING PARTNERSHIP ALPHANUMERIC: BR Maus Drive North Huntingdon, PA BRIARLEAF NSG CONV CENTER ALPHANUMERIC: BR Belmont Avenue Doylestown, PA BRINTON MANOR ALPHANUMERIC: BR Baltimore Pike Concordville, PA BRITTANY POINTE ESTATES ALPHANUMERIC: BR Valley Forge Road Lansdale, PA BROAD ACRES NURSING HOME ALPHANUMERIC: BR RR 3 Wellsboro, PA BROAD MOUNTAIN MANOR ALPHANUMERIC: BR W Laurel Street Frackville, PA BROOKLINE MANOR ALPHANUMERIC: BR RR 1 Box 463 Mifflintown, PA BROOKMONT HEALTH CARE CENTER ALPHANUMERIC: BR Brookmont Dr Effort, PA BROOKVILLE HOSPITAL ALPHANUMERIC: BR Hospital Road Brookville, PA BROOMALL PRESBYTERIAN HOME ALPHANUMERIC: BR Marple Road Broomall, PA BROWNSVILLE GENERAL HOSPITAL ALPHANUMERIC: BR Simpson Road Brownsville, PA BRYAN MAWR REHABILITATION HOSPITAL ALPHANUMERIC: BR Paoli Pike Malvern, PA BRYN MAWR TERRACE CONVALESCENT CENTER ALPHANUMERIC: BR Haverford Avenue Rugby Road Bryn Mawr, PA BUCKINGHAM VALLEY NRSNG CTR INC ALPHANUMERIC: BU Route 413 Buckingham, PA BUCKS CTY COUNCIL ON ALCOHO DRUG DEPENDENCE ALPHANUMERIC: BU W Swamp Rd Unit 2 Doylestown, PA BUCKTAIL MEDICAL CENTER ALPHANUMERIC: BU Pine Street Renovo, PA BUFFALO VALLEY LUTHERAN HOMES ALPHANUMERIC: BU Fairground Rd Lewisburg, PA BUTLER MEMORIAL HOSPITAL ALPHANUMERIC: BU East Brady Street Extension Butler, PA BUTLER VALLEY MANOR ALPHANUMERIC: BU RR 1 Box 1355 Drums, PA C K CENTER ALPHANUMERIC: C Sproul Rd Springfield, PA CALEDONIA MANOR ALPHANUMERIC: CA Lincoln Way East Fayetteville, PA CALVARY FELLOWSHIP HOME INC ALPHANUMERIC: CA Elizabeth Drive Lancaster, PA CAMBRIA COUNTY CMHC ALPHANUMERIC: CA Franklin St Cpc Bldg Third Fl Johnstown, PA CAMP HILL NURSING CONV CENTER INC ALPHANUMERIC: CA Erford Road Camp Hill, PA CANONSBURG GENERAL HOSPITAL ALPHANUMERIC: CA Medical Boulevard Canonsburg, PA

8 CANTERBURY PLACE ALPHANUMERIC: CA Fisk Street Pittsburgh, PA CARBON COUNTY HOME AGED ALPHANUMERIC: CA Evergreen Avenue Weatherly, PA CARBONDALE NURSING HOME INC ALPHANUMERIC: CA Hart Place Carbondale, PA CARE CENTER OF MARTINS RUN ALPHANUMERIC: CA Martins Run Halcyo Drive Media, PA CARE PAVILION OF WALNUT PARK ALPHANUMERIC: CA Walnut Street Phila, PA CARING PLACE ALPHANUMERIC: CA North 13 th Street Franklin, PA CARLETON SENIOR CARE AND REHAB CENTER ALPHANUMERIC: CA West Ave Wellsboro, PA CARLISLE REGIONAL MEDICAL CENTER ALPHANUMERIC: CA Parker Street Carlisle, PA CARON REHABILITATION HOSPITAL ALPHANUMERIC: CA Galen Hall Road Wernersville, PA CARPENTER CARE CENTER ALPHANUMERIC: CA RR 7 Box 12 Tunkhannock, PA CATHEDRAL VILLAGE ALPHANUMERIC: CA E Cathedral Road Phila, PA CEDAR HAVEN NURSING HOME ALPHANUMERIC: CE S Fifth Avenue Lebanon, PA CEDARBROOK ALLENTOWN ALPHANUMERIC: CE S Cedarbrook Road Allentown, PA CEDARS OF MONROEVILLE ALPHANUMERIC: CE Northern Pike Monroeville, PA CENTENIAL SPRING HLT CARE CRT ALPHANUMERIC: CE Newtown Road Warminster, PA CENTENIAL MONTGOMERY MEDICAL CENTER ALPHANUMERIC: CE Medical Campus Dr Lansdale, PA CENTENIAL PARK LODGE ALPHANUMERIC: CE Ridge Pike Phila, PA CENTRE COMMUNITY HOSPITAL ALPHANUMERIC: CE East Park Ave State College, PA CENTRE CREST ALPHANUMERIC: CE E Howard Street Bellefonte, PA CHAMBERSBURG HOSPITAL ALPHANUMERIC: CH North Seventh St Chambersburg, PA CHAMBERSBURG HOSPITAL TCU ALPHANUMERIC: CH N Seventh St Chambersburg, PA CHANDLER HALL ALPHANUMERIC: CH Barclay Street Newtown, PA CHAPEL MANOR NURSING AND REHAB CENTER ALPHANUMERIC: CH Welsh Road Phila, PA CHAPEL POINTE AT CARLISLE ALPHANUMERIC: CH S Hanover Street Carlisle, PA CHAR MUND NURSING HOME ALPHANUMERIC: CH RR 2 Box 72 Orangeville, PA CHARLES COLE MEMORIAL HOSPITAL ALPHANUMERIC: CH East Second St Coudersport, PA CHARLES COLE MEMORIAL HOSPITAL SNF ALPHANUMERIC: CH East Second Street Coudersport, PA CHATEAU SENIOR CARE ALPHANUMERIC: CH Railroad Ave Bryn Mawr, PA

9 CHELTENHAM YORK ROAD NURSING REHAB CTR ALPHANUMERIC: CH Old York Road Phila, PA CHELTENHAM NURSING AND REHAB ALPHANUMERIC: CH W Cheltenham Avenue Phila, PA CHESTER CNTY HOSP TRANSITIONAL CARE ALPHANUMERIC: CH E Marshall St West Chester, PA CHESTER CO HOSPITAL ALPHANUMERIC: CH E Marshall Street W Chester, PA CHESTNUT HILL HOSPITAL ALPHANUMERIC: CH Germantown Avenue Phila, PA CHESTNUT HILL REHAB HOSPITAL ALPHANUMERIC: CH Stenton Avenue Wyndmoor, PA CHESTNUT HILL REHAB HOSPITAL SKILLED NURSING FAC ALPHANUMERIC: CH Stenton Avenue Glenside, PA CHESTNUT HILL SPRINGFIELD CENTER ALPHANUMERIC: CH Stenton Avenue Phila, PA CHESTNUT STREET GERIATRIC ALPHANUMERIC: CH Chestnut St Phila, PA CHICORA MEDICAL CTR LP ALPHANUMERIC: CH Medical Center Rd Chicora, PA CHILDRENS HOME OF PITTSBURGH ALPHANUMERIC: CH Kentucky Avenue Pittsburgh, PA CHILDRENS HOSPITAL OF PHILA ALPHANUMERIC: CH th and Civic Center Boulevard Phila, PA CHILDRENS HOSPITAL OF PITTSBURGH ALPHANUMERIC: CH Fifth Avenue At Desoto Street Pittsburgh, PA CHILDRENS REHAB HOSPITAL ALPHANUMERIC: CH Conshohocken Avenue Phila, PA CHILDRENS SEASHORE HOUSE ALPHANUMERIC: CH th Civic Center Boulevard Phila, PA CHILDS WAY ALPHANUMERIC: CH Baum Blvd Pittsburgh, PA CHRIST HOME RETIRE CENTER ALPHANUMERIC: CH W Street Road Warminster, PA CHRIST THE KING MANOR ALPHANUMERIC: CH West Long Avenue Du Bois, PA CHURCH LANE SENIOR CARE ALPHANUMERIC: CH Church Lane Broomall, PA CHURCH OF BRETHREN HOME ALPHANUMERIC: CH Hoffman Avenue Windber, PA CHURCH OF GOD HOME INC ALPHANUMERIC: CH N Hanover Street Carlisle, PA CLAREMONT NURSING AND REHAB CTR ALPHANUMERIC: CL Claremont Road Carlisle, PA CLARION HOSPITAL ALPHANUMERIC: CL One Hospital Drive Clarion, PA CLARION PSYCHIATRIC CENTER ALPHANUMERIC: CL RD 3 Box 188 Two Hospital Drive Clarion, PA CLARKS SMMT STREET HOSPITAL ALPHANUMERIC: CL Hillside Drive Clarks Summit, PA CLARKS SUMMIT STATE HOSPITAL LTC ALPHANUMERIC: CL Hillside Drive Building 6 Clarks Summit, PA CLARVIEW NURSING REHAB CENTER ALPHANUMERIC: CL Rd1 P O Box 195 Sligo, PA

10 CLEARFIELD HOSPITAL ALPHANUMERIC: CL P.O. Box Turnpike Avenue Clearfield, PA CLEPPER CONV HOME ALPHANUMERIC: CL E State Street Sharon, PA CLEPPER MANOR ALPHANUMERIC: CL E State St Sharon, PA CLIVEDEN CONVALESCENT CENTER ALPHANUMERIC: CL Greene Street Phila, PA COBBS CREEK NURSING CENTER ALPHANUMERIC: CO Cobbs Creek Parkway Phila, PA COLLINS HEALTH CENTER ALPHANUMERIC: CO Baum Boulevard Pittsburgh, PA COLONIAL MANOR NURSING HOME ALPHANUMERIC: CO Colonial Avenue York, PA COMMUNITY HOSPITAL OF CHESTER ALPHANUMERIC: CO W Ninth St Chester, PA COMMUNITY HOSPITAL OF LANCASTER ALPHANUMERIC: CO East Orange Street Lancaster, PA COMMUNITY MEDICAL CTR ALPHANUMERIC: CO Mulberry Street Scranton, PA CONCORDIA LUTHERAN MINISTRIES ALPHANUMERIC: CO N Pike Road Cabot, PA CONEMAUGH VALLEY MEMORIAL HOSPITAL TCU ALPHANUMERIC: CO Franklin Street Johnstown, PA CONEMAUGH MEMORIAL MEDICAL CENTER ALPHANUMERIC: CO Franklin Street Johnstown, PA CONESTOGA VIEW ALPHANUMERIC: CO E King Street Lancaster, PA COOPER RIVER CONV CENTER EAST ALPHANUMERIC: CO Geriatric Medical Serv 5601 Chestnut Street Phila, PA CORNWALL MANOR UNITED METH CHURCH ALPHANUMERIC: CO Boyd St Cornwall, PA CORRY MANOR ALPHANUMERIC: CO Worth Street Corry, PA CORRY MEMORIAL HOSPITAL ALPHANUMERIC: CO West Smith Street Corry, PA COUNTRY MEADOWS NURSING CENTER ALPHANUMERIC: CO Green Pond Road Bethlehem, PA COUNTRY MEADOWS SKILLED NURSING FACILITY ALPHANUMERIC: CO Washington Pike Bridgeville, PA COURTLAND CENTER FOR CONTINUING CARE ALPHANUMERIC: CO Presbyterian Medical Center 39th and Market Sts Phila, PA COVE FORGE BEHAVIORAL HEALTH SYSTEM ALPHANUMERIC: CO PO Box B New Beginnings Road Williamsburg, PA COVENTRY MANOR ALPHANUMERIC: CO Chestnut Hill Rd Pottstown, PA CRESTVIEW NORTH NSG REHAB FACILITY ALPHANUMERIC: CR Tollgate Road Langhorne, PA CRESTVILLE CONV HOME ALPHANUMERIC: CR Church Road Wyncote, PA CROSSLANDS SKILLED NURSING FACILITY ALPHANUMERIC: CR Rte 926 Kennett Square, PA CROZER CHESTER MEDICAL CENTER ALPHANUMERIC: CR Medical Center Boulevard Upland, PA

11 CUMBERLAND CROSSINGS ALPHANUMERIC: CU One Longsdorf Way Carlisle, PA DANVILLE STATE HOSPITAL ALPHANUMERIC: DA Off Route 11 Danville, PA DAN VILLE STATE HOSPITAL LTC ALPHANUMERIC: DA Off Route 11 Danville, PA DAUPHIN MANOR ALPHANUMERIC: DA S 28th Street Harrisburg, PA DAVIS NURSING HOME INC ALPHANUMERIC: DA S Mountain Boulevard Mountain Top, PA DELAWARE COUNTY MEMORIAL HOSPITAL ALPHANUMERIC: DE N Lansdowne Avenue Drexel Hill, PA DELAWARE VALLEY MEDICAL CENTER ALPHANUMERIC: DE Oxford Valley Road Langhorne, PA DELAWARE VALLEY MENTAL HEALTH FDTN ALPHANUMERIC: DE Butler Avenue Doylestown, PA DELM NURSING INC ALPHANUMERIC: DE Evergreen Road Pottstown, PA DENVER NURSING HOME ALPHANUMERIC: DE Lancaster Avenue Stevens, PA DEPARTMENT OF VETERANS AFFAIR MEDICAL CENTER ALPHANUMERIC: DE Black Horse Hill Coatesville, PA DEPT OF VETERANS AFFAIRS MED CTR PSYCH ALPHANUMERIC: DE Blackhorse Hill Rd Phila, PA DEPT VA BUTLER MED CTR ALPHANUMERIC: DE New Castle Rd Butler, PA DIAKON LUTHERAN SERVICES ALPHANUMERIC: DI Century Drive Mechanicsburg, PA DIOCESE OF SCRANTON ALPHANUMERIC: DI S Meade St Wilkes Barre, PA DIVINE PROV HOSPITAL WILLIAMSPORT ALPHANUMERIC: DI Grampian Boulevard Williamsport, PA DIVINE PROV SKILLED NURSING FACILITY ALPHANUMERIC: DI Grampian Boulevard Williamsport, PA DOCK TERRACE ALPHANUMERIC: DO Dock Drive Lansdale, PA DONAHUE MANOR ALPHANUMERIC: DO Donahoe Manor Bedford, PA DOYLESTOWN HOSPITAL ALPHANUMERIC: DO W State Street Doylestown, PA DOYLESTOWN MANOR ALPHANUMERIC: DO Maple Avenue At East Street Doylestown, PA DRESHER HILL HEALTH AND REHAB CENTER ALPHANUMERIC: DR Camp Hill Road Dresher, PA DUBOIS REGIONAL MEDICAL CENTER ALPHANUMERIC: DU Hospital Ave Du Bois, PA DUNWOODY HOME MEDICAL CENTER ALPHANUMERIC: DU W Chester Pike Newtown Square, PA EAGLEVILLE HOSPITAL REHAB ALPHANUMERIC: EA Eagleville Road Eagleville, PA EAST MOUNTAIN MANOR ALPHANUMERIC: EA Plains Township 101 E Mountain Drive Wilkes Barre, PA EASTON HOSPITAL ALPHANUMERIC: EA South 21st Street Easton, PA EASTON NURSING CENTER ALPHANUMERIC: EA Washington Street Easton, PA

12 EASTWOOD NURSING AND REHAB CENTER ALPHANUMERIC: EA Fairview Avenue Easton, PA EDGEHILL NURSING AND REHAB CENTER ALPHANUMERIC: ED Edge Hill Road Glenside, PA EDGEWOOD NURSING CENTER ALPHANUMERIC: ED E Main St P O Box 277 Youngstown, PA EDINBORO MANOR ALPHANUMERIC: ED Waterford Street Edinboro, PA ELDERCREST NURSING CENTER ALPHANUMERIC: EL West Run Road Munhall, PA ELK HAVEN NURSING ALPHANUMERIC: EL Johnsonburg Road St Marys, PA ELK REGIONAL HEALTH CENTER ALPHANUMERIC: EL Johnsonburg Road St Marys, PA ELKINS CREST HEALTH AND REHAB CENTER ALPHANUMERIC: EL E Township Line Rd Elkins Park, PA ELLEN MEMORIAL HEALTH CARE CENTER ALPHANUMERIC: EL RR 1 Box 1735 Honesdale, PA ELLWOOD CITY HOSPITAL ALPHANUMERIC: EL Pershing Street Ellwood City, PA ELM TERRACE GARDENS ALPHANUMERIC: EL North Broad Street Lansdale, PA ELMIRA JEFFRIES MEMORIAL HOME ALPHANUMERIC: EL N 15th Street Phila, PA ELWYN INSTITUTES NEVIL HM ALPHANUMERIC: EL Elwyn Road Elwyn, PA EMMANUEL CENTER FOR NSG AND REHAB ALPHANUMERIC: EM Schoolhouse Rd Danville, PA EPHRATA COMMUNITY HOSPITAL ALPHANUMERIC: EP Martin Avenue Ephrata, PA EPHRATA MANOR ALPHANUMERIC: EP Bethany Road Ephrata, PA EPHRATA NSG HOME ALPHANUMERIC: EP W Locust Street Ephrata, PA EPISCOPAL HOSPITAL ALPHANUMERIC: EP Front St Lehigh Avenue Phila, PA EPISCOPAL HOSP ECF ALPHANUMERIC: EP Front St Lehigh Ave Phila, PA EPPI TENET HEALTHCARE ALPHANUMERIC: EP Henry Avenue Phila, PA EPWORTH MANOR ALPHANUMERIC: EP Washington Avenue Tyrone, PA EUGENIA MEMORIAL HOSPITAL ALPHANUMERIC: EU Thomas Road Lafayette Hill, PA EVANGELICAL COMMUNITY HOSP SUBACUTE CARE UNIT ALPHANUMERIC: EV Hospital Drive Lewisburg, PA EVANGELICAL COMMUNITY HOSPITAL ALPHANUMERIC: EV One Hospital Drive Lewisburg, PA EVANGELICAL CONG RET VL ALPHANUMERIC: EV W Park Avenue Myerstown, PA EVANGELICAL MANOR ALPHANUMERIC: EV Roosevelt Boulevard Phila, PA EVERGREEN CONVALESCENT HOME ALPHANUMERIC: EV Mill Rd Harmony, PA FAIR ACRES GERIATRIC CENTER ALPHANUMERIC: FA N Middletown Road Media, PA

13 FAIR WINDS MANOR INC ALPHANUMERIC: FA Iron Bridge Road Sarver, PA FAIRMOUNT GERIATRIC CENTER ALPHANUMERIC: FA th Chestnut 12 Phila, PA FAIRMOUNT REST HOME ALPHANUMERIC: FA RR 4 Ephrata, PA FAIRVIEW MANOR ALPHANUMERIC: FA Manchester Road Fairview, PA FAIRVIEW NSG CENTER OF PAPERMILL ROAD ALPHANUMERIC: FA Papermill Road Phila, PA FAIRVIEW RETIREMENT COMMUNITY CTR ALPHANUMERIC: FA Woodland Ave Lewisberry, PA FALLING SPRING NURSING ALPHANUMERIC: FA Franklin Farm Lane Chambersburg, PA FELLOWSHIP MANOR ALPHANUMERIC: FE Fellowship Drive Whitehall, PA FIRST HOSPITAL WYOMING VALLEY ALPHANUMERIC: FI Wyoming Ave Kingston, PA FITZGERALD MERCEY HOSPITAL ALPHANUMERIC: FI Skilled Nursing Facility 4MSB Lansdowne Avenue Baily Road Darby, PA FORBES REGIONAL HOSPITAL ALPHANUMERIC: FO Haymaker Road Monroeville, PA FORBES ROAD NURSING AND REHAB CENTER ALPHANUMERIC: FO Frankstown Avenue Pittsburgh, PA FOREST CITY NURSING CENTER ALPHANUMERIC: FO Delaware Street Forest City, PA FOREST PARK HEALTH CETNER ALPHANUMERIC: FO Walnut Bottom Carlisle, PA FORESTVIEW SKILLED HEALTH CARE CENTER ALPHANUMERIC: FO Edinboro Road Erie, PA FOULKEWAYS AT GWYNEDD ALPHANUMERIC: FO Meetinghouse Road Gwynedd, PA FOX CHASE CANCER CENTER ALPHANUMERIC: FO Burholme Avenue Philadelphia, PA FOX SUBACUTE AT CLARA BURKE ALPHANUMERIC: FO Stenton Ave Plymouth Meeting, PA FOX SUBACUTE CENTER ALPHANUMERIC: FO Bristol Road Warrington, PA FOXDALE VILLAGE ALPHANUMERIC: FO E Marylyn Avenue State College, PA FRANKFORD HOSPITAL ALPHANUMERIC: FR Knights Red Lion Roads Phila, PA FRANKFORD HOSPITAL BUCKS COUNTY TCU ALPHANUMERIC: FR North Oxford Valley Road Langhorne, PA FRANKLIN MATERNITY ALPHANUMERIC: FR Overbrook Avenue Phila, PA FREDERICK MENNONITE HOME ALPHANUMERIC: FR Big Road Frederick, PA FREY VILLAGE ALPHANUMERIC: FR North Union Street Middletown, PA FRICK HOSPITAL ALPHANUMERIC: FR South Church Street Mt Pleasant, PA FRICK HOSPITAL AND COMMUNITY SKILLED NURSING FAC ALPHANUMERIC: FR S Church Street Mt Pleasant, PA FRIENDLY NURSING HOME-PITMAN ALPHANUMERIC: FR RR 1 Box 118 Pitman, PA

14 FRIENDS HALL AT FOX CHASE ALPHANUMERIC: FR Hartell and Hasbrook Aves Phila, PA FRIENDS HOSPITAL ALPHANUMERIC: FR Roosevelt Boulevard Phila, PA FRIENDSHIP RIDGE ALPHANUMERIC: FR Friendship Circle Beaver, PA FRIENDSHIP VILLAGE-SOUTH HILLS ALPHANUMERIC: FR Boyce Road Pittsburgh, PA FT WASHINGTON ESTATES ALPHANUMERIC: FT Ft Washington Susquehanna Road Ft Washington, PA FULTON CNTY MEDICAL CNTR ALPHANUMERIC: FU S First Street Mc Connellsburg, PA FULTON CO MEDICAL CENTER SKILLED NURSING FACILIT ALPHANUMERIC: FU S First Street Mc Connellsburg, PA GARVEY MANOR ALPHANUMERIC: GA Logan Boulevard Hollidaysburg, PA GAUDENZIA AT SUNBURY ALPHANUMERIC: GA /2 Fourth Str Sunbury, PA GAUDENZIA CHAMBERS HILL ADOLESCENT PROG ALPHANUMERIC: GA Chambers Hill Rd Harrisburg, PA GAUDENZIA COMMON GROUND ALPHANUMERIC: GA N Front St Harrisburg, PA GEISINGER HEALTHSOUTH REHAB HOSPITAL ALPHANUMERIC: GE Rehab Lane Danville, PA GEISINGER MEDICAL CENTER ALPHANUMERIC: GE N Academy Avenue Danville, PA GEISINGER WYOM VALLEY MEDICAL CENTER ALPHANUMERIC: GE E Mountain Drive Wilkes Barre, PA GERMANTOWN HOME ALPHANUMERIC: GE Germantown Avenue Phila, PA GETTYSBURG HOSPITAL (WELLSPAN HEALTH SYSTEM) ALPHANUMERIC: GE Gettys Street Gettysburg, PA GETTYSBURG LUTHERAN HOME ALPHANUMERIC: GE Old Harrisburg Road Gettysburg, PA GILMORE WHITE CLIFF NRSG HOME ALPHANUMERIC: GI Fredonia Road Greenville, PA GNADEN HUETTEN MEM HOSP SNF ALPHANUMERIC: GN N 12th Street Lehighton, PA GNADEN HUETTEN MEMORIAL HOSPITAL ALPHANUMERIC: GN North 12th Street Lehighton, PA GOLDEN HILL NURSING HOME ALPHANUMERIC: GO Friendship Street New Castle, PA GOLDEN SLIPPER UPTOWN HOME ALPHANUMERIC: GO Bustleton Avenue Phila, PA GOOD SAMARITAN HOSP TRANSITIONAL CARE ALPHANUMERIC: GO Fourth and Walnut Streets Lebanon, PA GOOD SAMARITAN HOSPITAL ALPHANUMERIC: GO Th Walnut Sts Lebanon, PA GOOD SAMARITAN NRSG CARE CENTER ALPHANUMERIC: GO Franklin Street Johnstown, PA GOOD SAMARITAN REGIONAL MEDICAL CENTER ALPHANUMERIC: GO E Norweigian Street Pottsville, PA GOOD SHEPHERD HOME ALPHANUMERIC: GO St John Street Allentown, PA GOOD SHEPHERD REHABILITATION HOSPITAL ALPHANUMERIC: GO St Johns Street Allentown, PA

15 GOOD SHEPHERD SPECIALTY HOSP ALLENTOWN ALPHANUMERIC: GO Cedar Crest and I78 1st Floor Anderson Wing Allentown, PA GRACEDALE-COUNTY OF NORTHAMPTON ALPHANUMERIC: GR Gracedale Avenue Nazareth, PA GRAND VIEW HOSPITAL ALPHANUMERIC: GR Lawn Avenue Sellersville, PA GRAND VIEW HOSPITAL SKILLED NURSING ALPHANUMERIC: GR Lawn Avenue Sellersville, PA GRAND VIEW HEALTH HOMES INC ALPHANUMERIC: GR Woodbine Lane Danville, PA GRANITE FARMS ESTATES MEDICAL FACILITY ALPHANUMERIC: GR W Baltimore Pike Wawa, PA GREATER PITTSBURGH REHAB HOSPITAL ALPHANUMERIC: GR McGinley Road Monroeville, PA GREEN ACRES ADAMS COUNTY HOME ALPHANUMERIC: GR Biglerville Road Gettysburg, PA GREEN ACRES REHAB NURSING CENTER ALPHANUMERIC: GR Ivy Hill Road Wyndmoor, PA GREEN HOME ALPHANUMERIC: GR Central Avenue Wellsboro, PA GREEN RIDGE NURSING HOME INC ALPHANUMERIC: GR Sanderson Avenue Scranton, PA GREENBRIAR EAST ALPHANUMERIC: GR Boulevard of The Generals Norristown, PA GREENE COUNTY MEMORIAL HOSPITAL ALPHANUMERIC: GR Bonar Avenue Waynesburg, PA GREENE COUNTY MEMORIAL HOSP-SNF ALPHANUMERIC: GR Bonar Avenue Waynesburg, PA GREENLEAF NSG CONV CENTER ALPHANUMERIC: GR S Main Street Doylestown, PA GREENSBURG CARE CENTER ALPHANUMERIC: GR RR12 Box 41 Greensburg, PA GROVE MANOR NURSING ALPHANUMERIC: GR North Broad Street Grove City, PA GUY MARY FELT MANOR ALPHANUMERIC: GU East Fourth Street Emporium, PA GWYNEDD SQUARE CENTER NIRS CONV CARE ALPHANUMERIC: GW Sumneytown Pike Lansdale, PA HAHNEMANN UNIV HOSPITAL ALPHANUMERIC: HA Broad and Vine Streets Phila, PA HALL MERCER CMH ALPHANUMERIC: HA Spruce Street Phila, PA HAMILTON ARMS NURSING REHAB CENTER ALPHANUMERIC: HA Southwest End Avenue Lancaster, PA HAMOT MEDICAL CENTER ALPHANUMERIC: HA State Street Erie, PA HAMPTON HOUSE NURSING HOME ALPHANUMERIC: HA San Souci Parkway Wilkes Barre, PA HANOVER HALL ALPHANUMERIC: HA Frederick Street Hanover, PA HANOVER HOSPITAL INC ALPHANUMERIC: HA Highland Avenue Hanover, PA HARLEE MANOR NURSING HOME ALPHANUMERIC: HA W Sproul Road Springfield, PA HARMAR CILLAGE CARE CTR ALPHANUMERIC: HA Freeoirt Rd Cheswick, PA

16 HARMON HOUSE CARE CENTER ALPHANUMERIC: HA South Church Street Mount Pleasant, PA HARRISBURG HOSPITAL (PINNACLE HEALTH HOSPITALS) ALPHANUMERIC: HA S Front Str Harrisburg, PA HARRISBURG STATE HOSPITAL ALPHANUMERIC: HA Cameron Maclay Sts Harrisburg, PA HARRISON HEALTH CHRISTIANA ALPHANUMERIC: HA Newport Avenue Christiana, PA HARRISON HOUSE INC ALPHANUMERIC: HA Newport Pike Christiana, PA HARSTON HALL NURSING CONV HOME INC ALPHANUMERIC: HA Haws Lane Erdenheim, PA HASKINS NURSING HOME ALPHANUMERIC: HA Rhodes Avenue Secane, PA HAVEN CONVALESCENT HOME INC ALPHANUMERIC: HA Paul Street New Castle, PA HAVENCREST NURSING CENTER ALPHANUMERIC: HA Country Club Road Monongahela, PA HAVERFORD NSG REHAB CENTER ALPHANUMERIC: HA Old W Chester Park Havertown, PA HAZLETON GENERAL HOSPITAL ALPHANUMERIC: HA E Broad Street Hazleton, PA HAZLETON NUR GERIATRIC CENTER ALPHANUMERIC: HA W 27th Street Hazleton, PA HAZLETON ST JOSEPH MEDICAL CENTER ALPHANUMERIC: HA N Church Street Hazleton, PA HEALTH CARE CENTER WHITEHORSE VILLAGE ALPHANUMERIC: HE Gradyville Road Newtown Square, PA HEALTH PARTNERS OF PHILA ALPHANUMERIC: HE Chestnut Street Suite 900 Phila, PA HEALTHSOUTH AT COUNTRY MEADOWS ALPHANUMERIC: HE Tulpehocken Road Wyomissing, PA HEALTHSOUTH HARMARVILLE REHAB HOSPITAL ALPHANUMERIC: HE Guys Run Road Po Box Pittsburgh, PA HEALTHSOUTH OF GREAT LAKES INC ALPHANUMERIC: HE E Second Street Erie, PA HEALTHSOUTH OF NITTANY VALLEY INC ALPHANUMERIC: HE W College Avenue Pleasant Gap, PA HEALTHSOUTH READING REHAB HOSPITAL ALPHANUMERIC: HE Morgantown Road Reading, PA HEALTHOUTH REHAB CENTER ALPHANUMERIC: HE Hearthstone Court Crestwood East Office Park Reading, PA HEALTHSOUTH REHAB CENTER OF POTTSTOWN ALPHANUMERIC: HE East High Street Building C North Wales, PA HEALTHSOUTH REHAB CTR OF BOYERTOWN ALPHANUMERIC: HE Fifth and Montgomery Avenue Suite 103 Boyertown, PA HEALTHSOUTH REHAB HOSP FOR SPEC SVS ALPHANUMERIC: HE Wilson Lane Mechanicsburg, PA HEALTHSOUTH REHAB OF MECHANICSBURG ALPHANUMERIC: HE Lancaster Boulevard Mechanicsburg, PA HEALTHSOUTH REHAB HOSPITAL OF YORK ALPHANUMERIC: HE Normandie Dr York, PA HEALTHSOUTH REHAB HOSPITAL OF ALTOONA ALPHANUMERIC: HE Valley View Boulevard Altoona, PA

17 HEALTHSOUTH REHAB OF SEWICKLEY ALPHANUMERIC: HE Camp Meeting Road Sewickley, PA HEALTHSOUTH-RENOVA CENTER ALPHANUMERIC: HE Wilson Lane Mechanicsburg, PA HEARTLAND HEALTH CARE CENTER OF PITTSBURGH ALPHANUMERIC: HE South Negley Avenue Pittsburgh, PA HEATHERBRAND REHAB AND NURSING CENTER ALPHANUMERIC: HE Chiques Hill Road Columbia, PA HEMPFIELD MANOR ALPHANUMERIC: HE Rd 6 Box 499 Woodward Drive Greensburg, PA HERITAGE HOUSE ALPHANUMERIC: HE E Northampton Street Wilkes Barre, PA HERITAGE NURSING HOME INC ALPHANUMERIC: HE S Main Street Athens, PA HERITAGE SHADYSIDE ALPHANUMERIC: HE Phillips Avenue Pittsburgh, PA HERITAGE TOWERS RETIREMENT CENTER ALPHANUMERIC: HE Veterans Lane Doylestown, PA HEWITT MANOR ALPHANUMERIC: HE Honeoye Street Shinglehouse, PA HICKORY HOUSE NURSING HOME ALPHANUMERIC: HI Horseshoe Pike Honey Brook, PA HIGHLAND CENTER-GENESIS ELDERCARE NETWO ALPHANUMERIC: HI Broadview Boulevard Brackenridge, PA HIGHLAND MANOR NURSING HOME ALPHANUMERIC: HI Schooley Avenue Exeter, PA HIGHLAND PARK CARE CENTER ALPHANUMERIC: HI North Highland Avenue Pittsburgh, PA HIGHLAND VIEW HEALTH CARE ALPHANUMERIC: HI Main Street Brockway, PA HIGHLANDS ALPHANUMERIC: HI East Main St Laporte, PA HIGHLANDS AT WYOMISSING ALPHANUMERIC: HI Cambridge Avenue Wyomissing, PA HIGHLANDS HOSPITAL ALPHANUMERIC: HI East Murphy Avenue Connellsville, PA HILLCREST CENTER ALPHANUMERIC: HI Church Road Wyncote, PA HILLCREST HOME ALPHANUMERIC: HI E Harford Street Milford, PA HOLIDAY MANOR NURSING HOME ALPHANUMERIC: HO Franklin Avenue Scranton, PA HOLLAND GLEN ALPHANUMERIC: HO Cafferty Road Point Pleasant, PA HOLLIDAYSBURG VETERANS HM ALPHANUMERIC: HO Cafferty Road Point Pleasant, PA HOLY FAMILY HOME ALPHANUMERIC: HO Chester Avenue Phila, PA HOLY FAMILY MANOR SKILLED NURSING FACILITY ALPHANUMERIC: HO Spring Street Bethlehem, PA HOLY FAMILY RESIDENCE ALPHANUMERIC: HO Adams Avenue Scranton, PA HOLY REDEEMER HOSPITAL ALPHANUMERIC: HO Huntingdon Park Meadowbrook, PA HOLY SPIRIT HOSPITAL ALPHANUMERIC: HO North 21st Street Camp Hill, PA

18 HOMELAND CENTER ALPHANUMERIC: HO N Fifth Street Harrisburg, PA HOMESTEAD CENTER ALPHANUMERIC: HO N Easton Road Willow Grove, PA HOMESTEAD VILLAGE INC ALPHANUMERIC: HO Village Circle Lancaster, PA HOMETOWN NURSING CENTER ALPHANUMERIC: HO RR 2 Box 118 B Tamaqua, PA HOPKINS HSG REHAB CENTER ALPHANUMERIC: HO Washington Lane Wyncote, PA HORSHAM CLINIC INC ALPHANUMERIC: HO Welsh Rd Butler Pike Ambler, PA HOSPITAL OF UNIVERSITY OF PA ALPHANUMERIC: HO Spruce Street Phila, PA HOSPITALITY CARE CENTER HERMITAGE ALPHANUMERIC: HO E State Street Hermitage, PA HPCOM PARKVIEW SKILLED NURSING FACILITY ALPHANUMERIC: HP E Wyoming Avenue Phila, PA HRH TRANSITIONAL CARE UNIT ALPHANUMERIC: HR Huntingdon Pike Meadowbrook, PA HUMBERT LANE HEALTH CARE CENTRE ALPHANUMERIC: HU Humbert Lane Washington, PA HUNTINGDON MANOR ALPHANUMERIC: HU Warm Springs Avenue Huntingdon, PA IHS AT MOUNTAIN VIEW ALPHANUMERIC: IH Box 249 Road 7 Greensburg, PA IHS GREENERY OF CANONSBURG ALPHANUMERIC: IH Hill Church Houston R Canonsburg, PA IHS OF BRYN MAWR ALPHANUMERIC: IH Railroad Avenue Bryn Mawr, PA IHS OF CHESTNUT HILL ALPHANUMERIC: IH Stenton Avenue Wyndmoor, PA IHS OF ERIE AT BAYSIDE ALPHANUMERIC: IH Schaper Avenue Erie, PA IHS OF GREATER PITTSBURGH ALPHANUMERIC: IH Weatherwood Lane Greensburg, PA IHS OF HERSHEY AT WOODLANDS ALPHANUMERIC: IH Rhue Haus Ln Hershey, PA IHS OF PENNSYLVANIA AT BROOMALL ALPHANUMERIC: IH N Malin Rd Broomall, PA IMMACULATE MARY HOME ALPHANUMERIC: IM Holme Circle & Welsh Road Phila, PA INDIAN CREEK NRSG CENTER ALPHANUMERIC: IN West Edison Avenue New Castle, PA INDIANA COUNTY HOME ALPHANUMERIC: IN Saltzburg Avenue Indiana, PA INDIANA REGIONAL MEDICAL CENTER ALPHANUMERIC: IN Hospital Road Indiana, PA INGLIS HOUSE ALPHANUMERIC: IN Belmont Avenue Phila, PA INN AT FREEDOM VILLAGE ALPHANUMERIC: IN Freedom Boulevard Coatesville, PA INTERIM CARE METROPOLITAN HOSPITAL ALPHANUMERIC: IN E Wyoming Avenue Phila, PA J F KENNEDY MEMORIAL HOSPITAL ALPHANUMERIC: J Langdon Cheltenham Phila, PA

19 J H A MARKLEYSBUG INC HENRY CLAY VILLA ALPHANUMERIC: J National Pike Markleysburg, PA JAMESON CARE CENTER ALPHANUMERIC: JA Wilmington Road New Castle, PA JAMESON MEMORIAL HOSPITAL ALPHANUMERIC: JA Wilmington Avenue New Castle, PA JC BLAIR MEMORIAL HOSPITAL ALPHANUMERIC: JC Warm Springs Avenue Huntingdon, PA JEANES HOSPITAL ALPHANUMERIC: JE Central Avenue Phila, PA JEANNETTE DISTRICT MEMORIAL HOSPITAL ALPHANUMERIC: JE Jefferson Avenue Jeannette, PA JEANNETTE DISTRICT MEMORIAL HOSPITAL- SKILLED N ALPHANUMERIC: JE Jefferson Avenue Jeannette, PA JEFFERSON HILLS MANOR ALPHANUMERIC: JE Old Clairton Road Clairton, PA JEFFERSON MANOR HEALTH CENTER ALPHANUMERIC: JE RD 5 Brookville, PA JEFFERSON REGIONAL MEDICAL CENTER ALPHANUMERIC: JE PO Box Coal Valley Road Pittsburgh, PA JERSEY SHORE HOSPITAL ALPHANUMERIC: JE Thompson Street Jersey Shore, PA JEWISH HOME AND HOSPITAL FOR AGED AT PITTSBURGH ALPHANUMERIC: JE JHF Drive Pittsburgh, PA JEWISH HOME HOSPITAL ALPHANUMERIC: JE Browns Hill Road Pittsburgh, PA JEWISH HOME OF ESTRN PA ALPHANUMERIC: JE Vine Street Scranton, PA JEWISH HOME OF GREATER HARRISBURG ALPHANUMERIC: JE Linglestown Road Harrisburg, PA JOHN HEINZ INSTITUTE OF REHAB MEDICAL ALPHANUMERIC: JO Mundy Street Wilkes Barre, PA JOHN J KANE MCKEESPORT ALPHANUMERIC: JO Ninth Avenue Mc Keesport, PA JOHN J KANE REGIONAL CENTER ROSS TWNSHP ALPHANUMERIC: JO McIntyre Road Pittsburgh, PA JOHN J KANE REGL CTR-SCOTT TWNSHP DIVISION ALPHANUMERIC: JO Kane Road Pittsburgh, PA JOHN J KANE-GLEN HAZEL ALPHANUMERIC: JO Rivermont Drive Pittsburgh, PA JOHN XXIII HOME ALPHANUMERIC: JO Shenango Freeway Hermitage, PA JOSEPH PRIESTLY DISTRICT ALPHANUMERIC: JO W Tulpehocken St Phila, PA JULIA RIBAUDO HOME ALPHANUMERIC: JU Center Drive Lake Ariel, PA JULIA WILSON POUND HCC ALPHANUMERIC: JU Indian Springs Road Indiana, PA KADE NURSING HOME ALPHANUMERIC: KA W Wylie Washington, PA KANE COMMUNITY HOSPITAL ALPHANUMERIC: KA North Fraley Street Kane, PA KEARSLEY LONG TERM CARE CENTER ALPHANUMERIC: KE North 49th Street Phila, PA

20 KENDAL AT LONGWOOD SKILLED NURSING FACILITY ALPHANUMERIC: KE Mi E of Kennett Square Route 1 Kennett Square, PA KENSINGTON HOSPITAL ALPHANUMERIC: KE W Diamond Street Phila, PA KIDSPEACE HOSPITAL INC ALPHANUMERIC: KI Kidspeace Drive Orefield, PA KINGSTON HEALTH CARE ALPHANUMERIC: KI Third Avenue Kingston, PA KINKORA PYTHIAN HOME ALPHANUMERIC: KI Cove Road Duncannon, PA KIRKBRIDE CENTER ALPHANUMERIC: KI N 49th Street Phila, PA KIRKLAND VILLAGE ALPHANUMERIC: KI One Kirkland Circle Bethlehem, PA KITTANNING CARE CENTER ALPHANUMERIC: KI Rd I Box 27C Route 422 East Kittanning, PA KRAMM HEALTHCARE CENTER ALPHANUMERIC: KR Mahoning Street Milton, PA KUTZTOWN MANOR ALPHANUMERIC: KU Trexler Avenue Kutztown, PA LACKAWANNA COUNTY HLTHCARE CENTER ALPHANUMERIC: LA Sturgess Rd Olyphant, PA LAFAYETTE MANOR ALPHANUMERIC: LA Old New Salem Road Uniontown, PA LAFAYETTE REDEEMER ALPHANUMERIC: LA Verree Road Phila, PA LAKESIDE AT WILLOW VALLEY ALPHANUMERIC: LA Willow Valley Lks Drive Willow Street, PA LAKESIDE NURSING CENTER ALPHANUMERIC: LA RD 4 Box 357 Old Lake Road Dallas, PA LANCASHIRE HALL ALPHANUMERIC: LA Lititz Pike Lancaster, PA LANCASTER GENERAL HOSPITAL ALPHANUMERIC: LA N Duke Street Lancaster, PA LANCASTER REGIONAL MEDICAL CENTER ALPHANUMERIC: LA College Ave Lancaster, PA LANCASTER GENERAL HOSPITAL SKILLED NURSING FACIL ALPHANUMERIC: LA N Duke Street Lancaster, PA LANCASTER GENERAL HOSPITAL SUS DIVISION ALPHANUMERIC: LA Poplar Street Columbia, PA LANDIS HOMES RETIREMENT COMMUNITY ALPHANUMERIC: LA E Oregon Road Lititz, PA LANGHORNE GARDENS REHAB AND NRSG CENTER ALPHANUMERIC: LA Manor Avenue Langhorne, PA LANKENAU HOSP ALPHANUMERIC: LA Lancaster Ave Wynnewood, PA LANKENAU HOSPITAL PHYSICAL THERAPY DEPARTMENT ALPHANUMERIC: LA Lancaster Avenue Wynnewood, PA LATROBE AREA HOSPITAL ALPHANUMERIC: LA W Second Avenue Latrobe, PA LAUREL CREST MANOR ALPHANUMERIC: LA N Washington Street Telford, PA LAUREL HILL INC ALPHANUMERIC: LA Mill Street Dunmore, PA

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