# KEARSLEY LONG TERM CARE CENTER II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073760195
- **Authorized official:** MR. DONALD LEVESQUE (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (215) 951-4596

## Contact information

- **Practice address:** 2100 N 49TH ST, PHILADELPHIA, PA 19131-2633
- **Practice address phone:** (215) 877-1565
- **Practice address fax:** (215) 877-0738
- **Mailing address:** 2100 N 49TH ST, PHILADELPHIA, PA 19131-2633
- **Mailing address phone:** (215) 877-1565
- **Mailing address fax:** (215) 877-0738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 032502 | PA | Yes |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 11/25/2008
