| NPI | 1972805026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYAHNNA GORDON Physical Therapist Assistant 215-546-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |