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Organization
PENN CENTER FOR REHABILIATION AND CARE
Active
Organization
PENN CENTER FOR REHABILIATION AND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS VENZIE NHA (ADMINISTRATOR)
(215) 823-4747
Entity
Organization
Contact information
Practice address
3609 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
(215) 386-2942
(215) 386-3335
Mailing address
3609 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
(215) 386-2942
(215) 662-9686
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
180102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010643250002
—
PA
01
—
1164469003
NPI
PA
Enumeration date
05/31/2006
Last updated
02/17/2016
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