| NPI | 1962530683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE FRAIN Administrator 215-729-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 341602) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: PA 144930) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA 341602) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-04-30 |