NPI | 1073645743 |
---|---|
Other Name | WHITLOCK PCH |
Entity Type | Organization |
Authorized Contact | FRAN WAGNER National Director, Accts Receivable 610-542-3084 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 198110) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-08-22 |