| NPI | 1043520638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NICOLE DEANGELO Cota/L 610-873-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA OP006969) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: DE OP006969) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |