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Organization
BALA NURSING & RET CNTR LTD PTRSHP FORD RD CORP
Active
Organization
BALA NURSING & RET CNTR LTD PTRSHP FORD RD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROBERTS (CONTROLLER)
(215) 877-5400
Entity
Organization
Contact information
Practice address
4001 FORD RD, PHILADELPHIA, PA 19131-2833
(215) 877-5400
(215) 871-3110
Mailing address
4001 FORD RD, PHILADELPHIA, PA 19131-2833
(215) 877-5400
(215) 871-3110
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
041402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011856700001
—
PA
01
—
19203
SENIOR PARTNERS
PA
01
—
606828
AETNA PROVIDER NUMBER
PA
01
—
8133
ELDER HEALTH
PA
01
—
BLUE CROSS
BLUE CROSS
PA
01
—
KEYSTONE MERCY
1059563
PA
Enumeration date
01/11/2007
Last updated
09/28/2015
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