| NPI | 1164469003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS VENZIE Administrator 215-823-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 180102) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-02-17 |