NPI | 1811101199 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET BARBARA GRADL Administrator 610-644-1152 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: not licensed) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |