| NPI | 1871530618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY E MCELWAIN Vice President 215-947-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-09-26 |