Old Man’s Home

NPI Provider: 1033114707
Contact Name: Subers M. Michele
Position: CFO
Phone: (610) 658-5122

Old Man’s Home Information:

Old Man’s Home organization have npi 1033114707, taxonomy code is 314000000X with license number is 190402 in . This Business address located in 100 E Lancaster Ave, Wynnewood, PA 19096 Pennsylvania.

Practice Location
Address: 100 E Lancaster Ave, Wynnewood, PA 19096
Phone: (610) 658-5100

Business Location
Address: 100 E Lancaster Ave, Wynnewood, PA 19096
Phone: (610) 658-5100
Fax: (610) 795-5000

Taxonomy

Taxonomy Code: 314000000X

License Number: 190402

License Number of State: PA

Primary Taxonomy Switch: Y

Enumeration Date: 6/17/2005

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