NPI | 1396772109 |
---|---|
Doing Business As | WILLOW BROOKE COURT AT AZALEA TRACE |
Entity Type | Organization |
Authorized Contact | SUSAN AHERN SVP, CFO 215-661-8330 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 1029096) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL 1029096) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2024-02-20 |