| NPI | 1831180173 |
|---|---|
| Other Name | PENNSWOOD PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | PATRICIA SMITH Nursing H Ome Administrator 215-504-1157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: PA 144520) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: PA 164002) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |