| NPI | 1205199809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK BAKER Registered Nurse 215-962-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: PA RN606954) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |