| NPI | 1508081753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA LADAWN NARCISSE Registered Nurse 215-742-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA RN508556L) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |