| NPI | 1104101443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONETTE LIBRE-SABIO Program Manager 215-699-8727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA TOP008356) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |