Appendix. Facility identification numbers Typical covered services. Typical exclusions. Sample identification cards - Pennsylvania Blue Shield

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1 In this section Facility identification numbers Typical covered services Medical-surgical contracts Typical exclusions Medical-surgical contracts Sample identification cards - Pennsylvania Blue Shield Access Care II PPO CustomBlue PPO HealthStyle, Hershey Foods Corporation Capital Blue Cross, Pennsylvania Blue Shield Point of Service Traditional Blue Cross Blue Shield Sample identification cards - Highmark Blue Cross Blue Shield CommunityBlue HMO CommunityBlue POS KeystoneBlue HMO PreferredBlue PPO SecurityBlue HMO SelectBlue POS Page

2 Facility Identification Numbers HOSPITALS AND SKILLED NURSING FACILITIES ABINGTON MANOR ALPHANUMERIC: AB Edella Road Clarks Summit, PA ABINGTON MEMORIAL HOSPITAL ALPHANUMERIC: AB York Road Abington, PA ADAMS MANOR ALPHANUMERIC: AD Adams Avenue Scranton, PA ALBERT EINSTEIN MEDICAL CENTER ALPHANUMERIC: AL Old York Road Phila, PA ALLEGHENY GENERAL HOSPITAL ALPHANUMERIC: AL E North Avenue Pittsburgh, PA ALLEGHENY LUTH HM-JOHNSTOWN ALPHANUMERIC: AL Goucher Street Johnstown, PA ALLEGHENY MANOR ALPHANUMERIC: AL South Paint Boulevard Shippenville, PA ALLEGHENY UNIVERSITY HOSPITAL BUCKS ALPHANUMERIC: AL Newtown Road Warminster, PA ALLEGHENY UNIVERSITY HOSPITAL ELKINS PARK ALPHANUMERIC: AL E Township Line Road Elkins Park, PA ALLEGHENY UNIVERSITY HOSPITAL HAHNEMANN ALPHANUMERIC: AL N Broad Street Phila, PA ALLEGHENY UNIVERSITY HOSPITAL MCP ALPHANUMERIC: AL Henry Avenue Phila, PA ALLEGHENY UNIVERSITY HOSPITALS CITY AVENUE ALPHANUMERIC: AL City Avenue Hospital 4150 City Avenue Phila, PA ALLEGHENY UNIVERSITY HOSPITALS GRADUATE ALPHANUMERIC: AL Graduate Hospital One Graduate Plaza Phila, PA ALLEGHENY VALLEY HOSPITAL ALPHANUMERIC: AL Carlisle Street Natrona Heights, 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

3 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 Ambler, PA ASA PARK MANOR NURSING CENTER INC ALPHANUMERIC: AS Park St Montrose, PA ASBURY HEALTH CENTER ALPHANUMERIC: AS Bower Hill Road Pittsburgh, PA ASHLAND REGIONAL LONG TERM CARE CENTER ALPHANUMERIC: AS Broad Street Ashland, PA ASHLAND REGIONAL MEDICAL CENTER ALPHANUMERIC: AS Broad Street Ashland, PA ASHTON HALL NRSG REHAB CENTER ALPHANUMERIC: AS Red Lion Road Phila, PA ASSOCIATES RETARDED CITIZENS BUCK COUNTY ALPHANUMERIC: AS Harvey Avenue Doylestown, PA ATLAS DEVELOPMENT ASSOCIATES INC ALPHANUMERIC: AT Mount Carmel Nursing Center 700 W Third Street Mt Carmel, 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 AUH CANONSBURG SKILLED NURSING FACILITY ALPHANUMERIC: AU Medical Boulevard Canonsburg, PA AUH PARKVIEW HOSPITAL ALPHANUMERIC: AU East Wyoming Avenue Phila, PA AUH ST CHRISTOPHERS HOSPITAL CHLDRN ALPHANUMERIC: AU Erie Avenue At Front Street Phila, PA AUTUMN GROVE CARE CENTER ALPHANUMERIC: AU Main Street Harrisville, 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

4 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 MANOR INC ALPHANUMERIC: BE Wayne Avenue Indiana, PA BEAUMONT AT BRYN MAWR ALPHANUMERIC: BE N Ithan Avenue Bryn Mawr, PA BEAVER VALLEY GERIATRIC CENTER ALPHANUMERIC: BE Friendship Circle Beaver, PA BELLE HAVEN INC ALPHANUMERIC: BE Mill Road Quakertown, PA BELMONT CENTER ALPHANUMERIC: BE Monument Road Phila, PA BELVEDERE REHAB AND LIVING CENTER ALPHANUMERIC: BE Chestnut Street Chester, PA BERKS COUNTY HOME BERKS HEIM ALPHANUMERIC: BE Prison Road RD 1 Leesport, PA BERKSHIRE MANOR NURSING AND REHAB CENTER ALPHANUMERIC: BE Perkiomen Avenue Reading, PA BERWICK HOSPITAL ALPHANUMERIC: BE E 16th Street Berwick, PA BERWICK RETIREMENT VILLAGE NURSING HM ALPHANUMERIC: BE E 16th Street 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 - 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

5 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 GETTYSBURG ALPHANUMERIC: BE Chambersburg Road Gettysburg, 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 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 Po Box 138 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 BISHOP NURSING HOME ALPHANUMERIC: BI South Orange Street Media, PA BISHOP NURSING HOME ALPHANUMERIC: BI S Orange Street Media, PA BLAIR NURSING HOME INC ALPHANUMERIC: BL RR 2 Mercer Road Beaver Falls, PA BLAKELY PINE HEALTH CARE CENTER ALPHANUMERIC: BL Sanderson Avenue Scranton, PA BLAKELY PINE HEALTH CARE CENTER ALPHANUMERIC: BL Sturges Rd Peckville, PA BLOOMSBURG HEALTH CARE CENTER ALPHANUMERIC: BL E First Street Bloomsburg, PA BLOOMSBURG HOSPITAL ALPHANUMERIC: BL Fair Street Bloomsburg, PA

6 BLOUGH NURSING HOME 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 W Chester, PA BRANDYWINE HOSPITAL ALPHANUMERIC: BR Reeceville Road Coatesville, PA BRETHREN HOME NEW OXFORD ALPHANUMERIC: BR Rts 30 and 94 RD 3 New Oxford, PA BRETHREN VILLAGE ALPHANUMERIC: BR Lititz Pike Lancaster, 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 CONV REST HOME 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

7 BROWNSVILLE GENERAL HOSPITAL - SKILLED NURSING F ALPHANUMERIC: BR Simpson Road Brownsville, PA BRYN MAWR REHABILITATION HOSPITAL ALPHANUMERIC: BR Paoli Pike Malvern, PA BRYN MAWR TERRACE CONVALESCENT CENTER ALPHANUMERIC: BR Haverford Avenue Rugby Road Bryn Mawr, PA BUCHANAN COMMONS GENESIS ELDERCARE ALPHANUMERIC: BU Hillcrest Avenue Grove City, PA BUCKINGHAM VALLEY NRSNG CENTER INC ALPHANUMERIC: BU Route 413 Buckingham, PA BUCKTAIL MEDICAL CENTER ALPHANUMERIC: BU Pine Street Renovo, PA BUCKTAIL MEDICAL CENTER SKILLED NURSING FACILITY ALPHANUMERIC: BU Pine Street Renovo, PA BUFFALO VALLEY NURSING HM 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 CAMBRIDGE GROUP OF PENNSYLVANIA ALPHANUMERIC: CA Ruhehaus Lane Hershey, PA CAMP HILL NURSING CONV CENTER INC ALPHANUMERIC: CA Erford Road Camp Hill, PA CANONSBURG HOSPITAL ALPHANUMERIC: CA Medical Boulevard Canonsburg, PA 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 CARLETON SENIOR CARE AND REHAB CENTER ALPHANUMERIC: CA West Avenue Wellsboro, PA CARLISLE HOSPITAL ALPHANUMERIC: CA Parker Street Carlisle, PA CARON REHABILITATION HOSPITAL ALPHANUMERIC: CA Galen Hall Road Wernersville, PA

8 CARPENTER CARE CENTER ALPHANUMERIC: CA RR 7 Box 12 Tunkhannock, PA CATHEDRAL VILLAGE ALPHANUMERIC: CA E Cathedral Road Phila, PA CEDAR HAVEN LEBANON COUNTY HOME ALPHANUMERIC: CE S Fifth Avenue Lebanon, PA CEDARBROOK 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 CENTRAL PARK LODGES INC ALPHANUMERIC: CE N Malin Road Broomall, PA CENTRE COMMUNITY HOSPITAL ALPHANUMERIC: CE Po Box 1259 State College, PA CENTRE CREST ALPHANUMERIC: CE E Howard Street Bellefonte, PA CHAMBERSBURG ALPHANUMERIC: CH Seventh and King Chambersburg, PA CHANDLER HALL ALPHANUMERIC: CH Barclay Street Newtown, PA CHAPEL MANOR NURSINGAND 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 RR 01 Box 205 Coudersport, PA CHARLES COLE MEMORIAL HOSPITAL - SKILLED NURSING ALPHANUMERIC: CH East Second Street Coudersport, PA CHARTER FAIRMOUNT INSTITUTE ALPHANUMERIC: CH Fairthorne Street Phila, PA CHELTENHAM NURSING AND REHAB ALPHANUMERIC: CH W Cheltenham Avenue Phila, PA CHELTENHAM YORK ROAD NURSING REHAB CENTER ALPHANUMERIC: CH Old York Road Phila, PA CHESTER CARE CENTER ALPHANUMERIC: CH St Shaw Terrace 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

9 CHESTNUT HILL SPRINGFIELD CENTER ALPHANUMERIC: CH Stenton Avenue Phila, PA CHICORA MEDICAL CENTER INC ALPHANUMERIC: CH Box Q Chicora, PA CHILDRENS HOSPITAL OF PHILA ALPHANUMERIC: CH th and Civic Center Boulevard Phila, PA CHILDRENS HOSPITAL OF PITTSBURGH ALPHANUMERIC: CH One Childrens Place Pittsburgh, PA CHILDRENS REHAB HOSPITAL ALPHANUMERIC: CH Conshohocken Avenue Phila, PA CHILDRENS SEASHORE HOUSE ALPHANUMERIC: CH th Civic Center Boulevard Phila, 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 HEALTH CARE CENTER 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 CITIZENS GENERAL HOSPITAL ALPHANUMERIC: CI Fourth Avenue New Kensington, PA CLARA BURKE NURSING HOME ALPHANUMERIC: CL Stenton Avenue Plymouth Meeting, 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 CLEARFIELD HOSPITAL ALPHANUMERIC: CL Turnpike Avenue Clearfield, PA CLEPPER CONV HOME ALPHANUMERIC: CL E State Street 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

10 COMMUNITY GENERAL OSTEOPATHIC HOSPITAL ALPHANUMERIC: CO S Arlington Avenue Harrisburg, PA COMMUNITY HOSPITAL OF LANCASTER ALPHANUMERIC: CO East Orange Street Lancaster, PA COMMUNITY MEDICAL CENTER ALPHANUMERIC: CO Mulberry Street Scranton, PA CONCORDIA LUTHERAN MINISTRIES ALPHANUMERIC: CO N Pike Road Cabot, PA CONEMAUGH MEMORIAL MEDICAL CENTER ALPHANUMERIC: CO Franklin Street Johnstown, PA CONEMAUGH VALLEY MEMORIAL HOSPITAL TCU ALPHANUMERIC: CO Franklin Street Johnstown, PA CONESTOGA VIEW ALPHANUMERIC: CO E King Street Lancaster, PA CONTINUING CARE CENTER ALPHANUMERIC: CO Sixth Avenue and Spruce Street West Reading, 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 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 CUMBERLAND COUNTY NSG HM ALPHANUMERIC: CU Claremont Drive Carlisle, PA CUMBERLAND CROSSINGS ALPHANUMERIC: CU One Longsdorf Way Carlisle, PA DANVILLE STATE HOSPITAL ALPHANUMERIC: DA Off Route 11 Danville, PA DANVILLE STATE HOSPITAL LTC ALPHANUMERIC: DA Off Route 11 Danville, PA DAUPHIN MANOR ALPHANUMERIC: DA S 28th Street Harrisburg, PA

11 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 DENVER NURSING HOME ALPHANUMERIC: DE Lancaster Avenue Stevens, PA DEPARTMENT OF VETERANS AFFAIR MEDICAL CENTER ALPHANUMERIC: DE Black Horse Hill Coatesville, PA DIALYSIS CLINIC INC-GROVE CITY ALPHANUMERIC: DI North Broad Street Extension Grove City, 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 NURSING HOME ASSC ALPHANUMERIC: DU Po Box 307 Du Bois, PA DUBOIS REGIONAL MEDICAL CENTER ALPHANUMERIC: DU Hospital Avenue 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 EASTERN STATE SCHOOL AND HOSPITAL ALPHANUMERIC: EA Lincoln Highway Trevose, PA EASTON HOSPITAL ALPHANUMERIC: EA South 21st Street Easton, PA EASTWOOD NURSING AND REHAB CENTER ALPHANUMERIC: EA Fairview Avenue Easton, PA EDGEHILL NURSING AND REHAB CENTER ALPHANUMERIC: ED Edge Hill Road Glenside, PA EDGEWATER PSYCHIATRIC CENTER ALPHANUMERIC: ED N Front Street Harrisburg, PA

12 EDINBORO MANOR ALPHANUMERIC: ED Waterford Street Edinboro, PA ELIZA CATHCART HUTCHINSON HOUSE ALPHANUMERIC: EL North Valley Forge Road Devon, PA ELK HAVEN NURSING HOME ALPHANUMERIC: EL Johnsonburg Road St Marys, PA ELK REGIONAL HEALTH CENTER ALPHANUMERIC: EL Johnsonburg Road St Marys, 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 JEFFERIES MEMORIAL HOME ALPHANUMERIC: EL N 15th Street Phila, PA ELMIRA JEFFRIES MEMORIAL HOME ALPHANUMERIC: EL N 15th Street Phila, PA ELWYN INSTITUTES NEVIL HM ALPHANUMERIC: EL Elwyn Road Elwyn, PA EMBREEVILLE STATE H ALPHANUMERIC: EM Woodview Building Embreeville, 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 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 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 EVERGREEN TERRACE ALPHANUMERIC: EV Ferry Road Doylestown, PA EXTENDICARE HEALTH NETWK AT BEAVER VALLEY ALPHANUMERIC: EX Georgetown Road Beaver Falls, PA

13 EXTENDICARE HEALTH NETWK AT BELAIR REHAB ALPHANUMERIC: EX Little Road Lower Burrell, PA EXTENDICARE HEALTH NETWK AT EDGEWOOD ALPHANUMERIC: EX P O Box 277 E Main Street Youngstown, PA EXTENDICARE HEALTH NETWK AT ELDERCREST ALPHANUMERIC: EX West Run Road Munhall, PA EXTENDICARE HEALTH NETWK AT HAVENCREST ALPHANUMERIC: EX Country Club Road Monongahela, PA EXTENDICARE HEALTH NETWK AT MEADOWCREST ALPHANUMERIC: EX Braun Road Bethel Park, PA EXTENDICARE HEALTH NETWK AT MOUNTAIN LAUREL ALPHANUMERIC: EX Leonard Street Clearfield, PA EXTENDICARE HEALTH NETWK AT OAK HILL ALPHANUMERIC: EX RD 7 Box 77A Greensburg, PA EXTENDICARE HEALTH NTWK AT ABINGTON CREST ALPHANUMERIC: EX South Hills Road Erie, PA FAIR ACRES GERIATRIC CENTER ALPHANUMERIC: FA N Middletown Road Media, PA 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 NRSNG HM OF BETH PARK ALPHANUMERIC: FA Bethlehem Pike Phila, PA FAIRVIEW NSG CENTER OF PAPERMILL ROAD ALPHANUMERIC: FA Papermill Road Phila, PA FAIRWAYS AT BROOKLINE ALPHANUMERIC: FA Cliffside Drive State College, PA FELLOWSHIP MANOR ALPHANUMERIC: FE Fellowship Drive Whitehall, PA FIRST HOSPITAL WYOMING VALLEY ALPHANUMERIC: FI Dana Street Wilkes Barre, 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 REGIONAL HOSPITAL NURSING CENTER ALPHANUMERIC: FO Frankstown Avenue Pittsburgh, PA FORBES REGIONAL HOSPITAL SKILLED NURSG UNIT ALPHANUMERIC: FO Haymaker Road Monroeville, PA FOREST CITY NURSING CENTER ALPHANUMERIC: FO Delaware Street Forest City, PA

14 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 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 COUNTY NSG HOME ALPHANUMERIC: FR Franklin Farm Lane Chambersburg, PA FRANKLIN MATERNITY ALPHANUMERIC: FR Overbrook Avenue Phila, PA FREDERICK MENNONITE HOME ALPHANUMERIC: FR Rte 73 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 FRIENDS HALL AT FOX CHASE ALPHANUMERIC: FR Hartell and Hasbrook Aves Phila, PA FRIENDS HOSPITAL ALPHANUMERIC: FR Roosevelt Boulevard Phila, 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 GEISINGER MEDICAL ALPHANUMERIC: GE N Academy Avenue Danville, PA GEISINGER WYOM VALLEY MEDICAL CENTER ALPHANUMERIC: GE E Mountain Drive Wilkes Barre, PA

15 GEORGE HARRISON HOME ALPHANUMERIC: GE Episcopal Hospital Ecf Front St Lehigh Avenue Phila, PA GERIATRIC SKILLED CARE UNIT ALPHANUMERIC: GE N Broad Street 3 East Phila, PA GERMANTOWN HOME ALPHANUMERIC: GE Germantown Avenue Phila, PA GERMANTOWN HOSPITAL AND COMMUNITY HEALTH ALPHANUMERIC: GE One Penn Boulevard Phila, PA GETTYSBURG HOSPITAL ALPHANUMERIC: GE Gettys Street Gettysburg, PA GETTYSBURG LUTHERAN HOME ALPHANUMERIC: GE Old Harrisburg Road Gettysburg, PA GETTYSBURG VILLAGE GREEN NSG CENTER ALPHANUMERIC: GE York Road Gettysburg, PA GNADEN HUETTEN CONV CENTER 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 CLUB UPTOWN HM ALPHANUMERIC: GO Bustleton Avenue Phila, PA GOLFVIEW MANOR NRSG HOME ALPHANUMERIC: GO Golfcourse Road Aliquippa, PA GOOD SAMARITAN HOSPITAL ALPHANUMERIC: GO Th Walnut Sts Lebanon, PA GOOD SAMARITAN MEDICAL CENTER ALPHANUMERIC: GO Franklin Street Johnstown, 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 REHAB HOSPITAL ALPHANUMERIC: GO Fifth and Street John Street 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 GRANDVIEW 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

16 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 NRSG AND CONV CENTER ALPHANUMERIC: GR Donahoe and Luxor Road Po Box 956 Greensburg, PA GROVE MANOR 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 H A I D A MANOR ALPHANUMERIC: H Third Avenue Extension Glenhope, 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 GENERAL HOSPITAL ALPHANUMERIC: HA Highland Avenue Hanover, PA HANOVER HALL ALPHANUMERIC: HA Frederick Street Hanover, PA HARLEE MANOR NURSING HOME ALPHANUMERIC: HA W Sproul Road Springfield, PA HARMON HOUSE CARE CENTER ALPHANUMERIC: HA South Church Street Mount Pleasant, PA HARRISBURG HOSPITAL ALPHANUMERIC: HA South Front Street 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

17 HARSTON HALL ALPHANUMERIC: HA Haws Lane Flourtown, 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 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 HCR MANORCARE ALPHANUMERIC: HC Weyman Road Pittsburgh, PA HEALTH CARE CENTER WHITEHORSE VILLAGE ALPHANUMERIC: HE Gradyville Road Newtown Square, PA HEALTHSOUTH HARMARVILLE REHAB HOSPITAL ALPHANUMERIC: HE Guys Run Road Po Box Pittsburgh, PA HEALTHSOUTH LAKE ERIE INSTITUTE OF REHAB ALPHANUMERIC: HE W Second Street Erie, 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 HEALTHSOUTH REHAB HOSPITAL OF ALTOONA ALPHANUMERIC: HE Valley View Boulevard Altoona, PA HEALTHSOUTH REHAB OF MECHANICSBURG ALPHANUMERIC: HE Lancaster Boulevard Mechanicsburg, PA HEALTHSOUTH REHAB OF SEWICKLEY ALPHANUMERIC: HE Camp Meeting Road Sewickley, PA HEALTHSOUTH REHAB RENOVA CENTER ALPHANUMERIC: HE Wilson Lane Mechanicsburg, PA HEALTHSOUTH-RENOVA CENTER ALPHANUMERIC: HE Wilson Lane Mechanicsburg, PA HEARTLAND HEALTH CARE CENTER OF PITTSBURGH ALPHANUMERIC: HE South Negley Avenue Pittsburgh, PA HEATHERBANK ALPHANUMERIC: HE Chiques Hill Road Columbia, PA HEIGHTS NURSING HOME AT LOCUST MOUNT ALPHANUMERIC: HE Pennsylvania Avenue Shenandoah, PA HERITAGE HOUSE ALPHANUMERIC: HE E Northampton Street Wilkes Barre, PA

18 HERITAGE NURSING HOME INC ALPHANUMERIC: HE S Main Street Athens, 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 HALL CARE CENTER ALPHANUMERIC: HI West Pittsburg Road New Castle, PA HIGHLAND MANOR NURSING HOME ALPHANUMERIC: HI Schooley Avenue Exeter, PA HIGHLAND VIEW HEALTH CARE ALPHANUMERIC: HI Main Street Brockway, 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 HIRAM G ANDREWS CENTER ALPHANUMERIC: HI Goucher Street Johnstown, PA HOLIDAY MANOR NURSING HOME ALPHANUMERIC: HO Franklin Avenue Scranton, PA HOLLIDAYSBURG VETERANS HM ALPHANUMERIC: HO Route 220 At The Meadows Intersec Hollidaysburg, 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 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

19 HOPEHILL NURSING HOME ALPHANUMERIC: HO RR 6 Box 449 Woodwrd Drive Greensburg, 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 AT WHITEMARSH ALPHANUMERIC: IH Central Park Lodge 9209 Ridge Pike Phila, 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 PA AT PLYMOUTH HOUSE ALPHANUMERIC: IH E Germantown Pike Norristown, 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 HOSPITAL ALPHANUMERIC: IN Hospital Road Indiana, PA INGLIS HOUSE ALPHANUMERIC: IN Belmont Avenue Phila, PA INN AT FREEDOM VILLAGE ALPHANUMERIC: IN Freedom Boulevard Coatesville, PA INN AT FREEDOM VILLAGE ALPHANUMERIC: IN Freedom Boulevard Coatesville, PA INTEGRATED HEALTH SERVICES AT PA INC ALPHANUMERIC: IN Railroad Avenue Bryn Mawr, PA

20 INTERIM CARE METROPOLITAN HOSPITAL ALPHANUMERIC: IN E Wyoming Avenue Phila, PA J F KENNEDY MEMORIAL HOSPITAL ALPHANUMERIC: J Langdon Cheltenham Phila, PA J H A MARKLEYSBUG INC HENRY CLAY VILLA ALPHANUMERIC: J National Pike Markleysburg, PA JAMES E VAN ZANDT VA MEDICAL CENTER ALPHANUMERIC: JA th St and Robin Avenue Altoona, 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 TRANSITIONAL REHAB ALPHANUMERIC: JE Tjuh Ford Road Campus 3905 Ford Road Phila, 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 Bx 2096 Wilkes Barre, 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

21 JOHN XXIII HOME ALPHANUMERIC: JO Shenango Freeway Hermitage, PA JULIA RIBAUDO HOME ALPHANUMERIC: JU Center Drive Lake Ariel, PA JULIA WILSON POUND HCC ALPHANUMERIC: JU Indian Springs Road Indiana, PA KANE COMMUNITY HOSPITAL ALPHANUMERIC: KA North Fraley Street Kane, PA KEARSLEY LONG TERM CARE CENTER ALPHANUMERIC: KE North 49th Street Phila, PA 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 KINGSTON HEALTH CARE ALPHANUMERIC: KI Third Avenue Kingston, PA KINKORA PYTHIAN HOME ALPHANUMERIC: KI Cove Road Duncannon, PA KIRKLAND VILLAGE ALPHANUMERIC: KI One Kirkland Circle Bethlehem, PA KRAMM HEALTHCARE CENTER ALPHANUMERIC: KR Mahoning Street Milton, PA KRAMM NURSING HOME ALPHANUMERIC: KR Broadway 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 ALPHANUMERIC: LA N Duke Street 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

22 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 CREST REHAB SPECIAL CARE CENTER ALPHANUMERIC: LA Po Box Manor Drive Ebensburg, PA LAUREL HILL INC ALPHANUMERIC: LA Mill Street Dunmore, PA LAUREL LIVING CENTER ALPHANUMERIC: LA RR 3 Box 3835 Hamburg, PA LAUREL NURSING AND REHAB CENTER ALPHANUMERIC: LA Holly Road Hamburg, PA LAUREL RIDGE NRSG REHAB CENTER ALPHANUMERIC: LA Hickle Street Uniontown, PA LAUREL VIEW VILLAGE ALPHANUMERIC: LA Cambridge Drive Davidsville, PA LAURELWOOD CARE CENTER ALPHANUMERIC: LA Woodmont Road Johnstown, PA LEADER HLTHCARE REHAB CENTER II ALPHANUMERIC: LE Old Arch Road Norristown, PA LEADER NURSING REHAB CENTER WEST ALPHANUMERIC: LE Wyoming Avenue Kingston, PA LEBANON VALLEY BRETHREN HOME ALPHANUMERIC: LE Grubb Street Palmyra, PA LEBANON VALLEY HOME ALPHANUMERIC: LE E Main Street Annville, PA LEHIGH MANOR NURSING REHAB CENTER ALPHANUMERIC: LE Spring Creek Road Macungie, PA LEHIGH VALLEY HOSPITAL ALPHANUMERIC: LE th and Chew Sts Allentown, PA LEMINGTON HOME FOR THE AGED ALPHANUMERIC: LE Lincoln Avenue Pittsburgh, PA LEWISTOWN HOSPITAL ALPHANUMERIC: LE Highland Avenue Lewistown, PA LIBERTY NURSING REHAB CENTER ALPHANUMERIC: LI th and Allen Sts Allentown, PA LIFEQUEST NURSING CENTER ALPHANUMERIC: LI Route 663 Quakertown, PA LIMA ESTATES MEDICAL CARE FACILITY ALPHANUMERIC: LI N Middletown Road Lima, PA LITTEL FLOWER MANOR ALPHANUMERIC: LI Springfield Road Darby, PA LITTLE FLOWER MANOR ALPHANUMERIC: LI Diocese of Scranton 200 S Meade Street Wilkes Barre, PA LITTLE SISTERS OF THE POOR ALPHANUMERIC: LI Benton Avenue Pittsburgh, PA

23 LOCK HAVEN HOSPITAL ALPHANUMERIC: LO Cree Drive Lock Haven, PA LOCK HAVEN HOSPITAL ECF ALPHANUMERIC: LO Irving & Bloomway Lock Haven, PA LOCUST GROVE RETIREMENT VILLAGE ALPHANUMERIC: LO Hcr 67 Box 7 Mifflin, PA LOGAN SQUARE EAST CARE CENTER ALPHANUMERIC: LO Two Franklintown Boulevard Phila, PA LONGWOOD AT OAKMONT ALPHANUMERIC: LO Route 909 Verona, PA LONGWOOD VILLA GERIATRIC NURSING CENTER ALPHANUMERIC: LO Naamans Creek Road Boothwyn, PA LOWER BUCKS HOSPITAL ALPHANUMERIC: LO Bath Road Bristol, PA LOYALHANNA CARE CENTER ALPHANUMERIC: LO RR 2 Box 14 Latrobe, PA LUTHER ACRES MANOR ALPHANUMERIC: LU St Luke Drive Lititz, PA LUTHER CREST RETIREMENT COMMUNITY ALPHANUMERIC: LU Hausman Road Allentown, PA LUTHER WOODS CONV CENTER ALPHANUMERIC: LU County Line Road Hatboro, PA LUTHERAN HOME AT KANE ALPHANUMERIC: LU Clay St Extension Kane, PA LUTHERAN HOME AT TOPTON ALPHANUMERIC: LU South Home Avenue Topton, PA LUTHERAN HOME FOR THE AGED ALPHANUMERIC: LU West 22nd Street Erie, PA LUTHERAN NURSING REHAB CENTER SPRENKLE ALPHANUMERIC: LU Folkemer Circle York, PA LUTHERN HOME AT KANE ALPHANUMERIC: LU RR 1 Box 92AA Kane, PA LUTHERN HOME TELFORD ALPHANUMERIC: LU N Washington Street Telford, PA MAGEE REHABILITATIONHSP ALPHANUMERIC: MA Franklin Plaza Phila, PA MAGEE-WOMENS HOSPITAL UPMC HEALTH SYSTM ALPHANUMERIC: MA Halket Street Pittsburgh, PA MAHONING VALLEY NURSING REHAB CENTER ALPHANUMERIC: MA Hemlock Drive Lehighton, PA MAIN LINE HOSPITAL INC BRYN MAWR ALPHANUMERIC: MA S Bryn Mawr Avenue Bryn Mawr, PA MAIN LINE HOSPITAL INC PAOLI MEMORIAL ALPHANUMERIC: MA W Lancaster Paoli, PA MAIN LINE INC LANKENAU HOSPITAL ALPHANUMERIC: MA Lancaster Avenue City Lane Wynnewood, PA MAIN LINE NURSING REHAB CENTER ALPHANUMERIC: MA E Lancaster Avenue Malvern, PA

24 MAJESTIC OAKS ALPHANUMERIC: MA Newtown Road Warminster, PA MALTA HOME FOR THE AGING ALPHANUMERIC: MA Malta Lane Box E Granville, PA MANATAWNY MANOR ALPHANUMERIC: MA Old Schuylkill Road Bx799 Pottstown, PA MANCHESTER HOUSE NURSING ALPHANUMERIC: MA Manchester Avenue Media, PA MANOR CARE BETHLEHEM ALPHANUMERIC: MA West Gate Drive Bethlehem, PA MANOR CARE HEALTH SERVICES ALPHANUMERIC: MA King of Prussia 600 W Valley Forge Road King of Prussia, PA MANOR CARE HEALTH SERVICES ALPHANUMERIC: MA Devon Manor 235 Lancaster Avenue Devon, PA MANOR CARE HEALTH SVCSAT FITZGERALD ALPHANUMERIC: MA S Wycombe Avenue Yeadon, PA MANORCARE HEALTH SER YORK NORTH ALPHANUMERIC: MA Barley Road York, PA MANORCARE HEALTH SERV BETHLEHEM ALPHANUMERIC: MA Westgate Drive Bethlehem, PA MANORCARE HEALTH SERV BETHLEHEM II ALPHANUMERIC: MA Westgate Drive Bethlehem, PA MANORCARE HEALTH SERV CAMP HILL ALPHANUMERIC: MA Market Street Camp Hill, PA MANORCARE HEALTH SERV CHAMBERSBURG ALPHANUMERIC: MA Stouffer Avenue Chambersburg, PA MANORCARE HEALTH SERV EASTON ALPHANUMERIC: MA Northampton Street Easton, PA MANORCARE HEALTH SERV ELIZABETHTOWN ALPHANUMERIC: MA S Market Street Elizabethtown, PA MANORCARE HEALTH SERV HARRISBURG ALPHANUMERIC: MA King Russ Road Harrisburg, PA MANORCARE HEALTH SERV JERSEY SHORE ALPHANUMERIC: MA Thompson Street Jersey Shore, PA MANORCARE HEALTH SERV KINGSTON COURT ALPHANUMERIC: MA Kingston Court York, PA MANORCARE HEALTH SERV KINGSTON EAST ALPHANUMERIC: MA Second Avenue Kingston, PA MANORCARE HEALTH SERV LAURELDALE ALPHANUMERIC: MA Elizabeth Avenue Laureldale, PA MANORCARE HEALTH SERV LEBANON ALPHANUMERIC: MA Tuck Street Lebanon, PA MANORCARE HEALTH SERV POTTSVILLE ALPHANUMERIC: MA Pulaski Drive Pottsville, PA MANORCARE HEALTH SERV SINKING SPRG ALPHANUMERIC: MA Windmill Road Sinking Spring, PA MANORCARE HEALTH SERV SUNBURY ALPHANUMERIC: MA Court Street Circle Drive Sunbury, PA