| NPI | 1104142868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE DONLAN L PT 610-794-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA OC001919-L) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |