NPI | 1922306885 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA ROSE Medical Director/ Rittenhouse Pine 610-239-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011258) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA SP011258) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2011-03-02 |