# RHA/PENNSYLVANIA NURSING HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prospect Park Health & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134113293
- **Authorized official:** MARGE RICHARDS (OFFICE MANAGER)
- **Authorized official phone:** (610) 586-6262

## Contact information

- **Practice address:** 815 CHESTER PIKE, PROSPECT PARK, PA 19076-2322
- **Practice address phone:** (610) 586-6262
- **Practice address fax:** (610) 586-4420
- **Mailing address:** 815 CHESTER PIKE, PROSPECT PARK, PA 19076-2322
- **Mailing address phone:** (610) 586-6262
- **Mailing address fax:** (610) 586-4420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 162502 | PA | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 07/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005798000 | BLUE CROSS | — |
| 05 | — | 100728085-0006 | — | PA |