| NPI | 1225023443 |
|---|---|
| Other Name | DOCK TERRACE |
| Entity Type | Organization |
| Authorized Contact | EDWARD D BRUBAKER President CEO 215-368-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA 044402) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2009-03-12 |