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 |