# PENN CENTER FOR REHABILIATION AND CARE

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

## Provider details

- **NPI number:** 1164469003
- **Authorized official:** MR. DOUGLAS VENZIE NHA (ADMINISTRATOR)
- **Authorized official phone:** (215) 823-4747

## Contact information

- **Practice address:** 3609 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
- **Practice address phone:** (215) 386-2942
- **Practice address fax:** (215) 386-3335
- **Mailing address:** 3609 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
- **Mailing address phone:** (215) 386-2942
- **Mailing address fax:** (215) 662-9686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 180102 | PA | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 02/17/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0010643250002 | — | PA |
| 01 | — | 1164469003 | NPI | PA |