# NATIONAL NURSING CENTERS CONSORTIUM

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

## Provider details

- **NPI number:** 1124204904
- **Authorized official:** TINE HANSEN-TURTON MGA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 731-7140

## Contact information

- **Practice address:** 260 S BROAD ST, 18TH FLOOR, PHILADELPHIA, PA 19102-5021
- **Practice address phone:** (215) 731-7140
- **Mailing address:** 260 S BROAD ST, 18TH FLOOR, PHILADELPHIA, PA 19102-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 01/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1016137600001 | MEDICARE ID | — |