| NPI | 1205273943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KALLUSH Director 215-677-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: PA 315144) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |