NPI Provider: 1306841101
Contact Name: Gresko A. Teresa
Position: Chief Financial Officer, VP Finance
Phone: (215) 339-4223
St. Agnes Continuing Care Center Information:
St. Agnes Continuing Care Center organization have npi 1306841101, taxonomy code is 314000000X with license number is 971002 in . This Business address located in 1900 S Broad St, Philadelphia, PA 19145 Pennsylvania.
Practice Location
Address: 1900 S Broad St, Philadelphia, PA 19145
Phone: (215) 339-4100
Business Location
Address: 1900 S Broad St, Philadelphia, PA 19145
Phone: (215) 339-4100
Fax: (215) 339-0482
Taxonomy
Taxonomy Code: 314000000X
License Number: 971002
License Number of State: PA
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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