| NPI | 1831511864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NUGENT Program Manager 215-836-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA SL004104) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |