Immaculate Mary Home

NPI 1205810587 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1205810587
Enumeration Date 12/01/2005
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL MICHAEL
Position CHIEF FINANCIAL OFFICER
Phone (215) 335-2100
Fax (215) 331-9105
Practice Location
2990 HOLME AVE
PHILADELPHIA PA, 19136-1830, US
Phone (215) 335-2100
Fax (215) 331-9105
Business Location
2990 HOLME AVE
PHILADELPHIA PA, 19136-1830, US
Phone (215) 335-2100
Fax (215) 331-9105
Toxanomy
Taxonomy Code 314000000X
License State Pennsylvania
License Number 090902
Remove 1205810587 NPI Number
 

According to our database, Immaculate Mary Home NPI is 1205810587, taxonomy code is 314000000X and license number is 090902, license state is located at Pennsylvania. Immaculate Mary Home physically located at 2990 Holme Ave, Philadelphia PA, 19136-1830. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1205810587 NPI number is provided on an as is basis without warranty of any kind. 1205810587 is maintained by the National Plan & Provider Enumeration System. The contents of Immaculate Mary Home are for informational purposes only.