| NPI | 1356349468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN M KOZLOWSKI Director, Tcu 215-335-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 40030) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |