| NPI | 1609152594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WITKOWSKI Program Manager 610-997-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA TE008727) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |