| NPI | 1205810587 |
|---|---|
| Doing Business As | IMMACULATE MARY HOME |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CZEKNER Chief Financial Officer 215-368-0900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 090902) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2008-06-16 |