# ST. AGNES CONTINUING CARE CENTER

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

## Provider details

- **NPI number:** 1306841101
- **Authorized official:** MRS. TERESA A. GRESKO (CHIEF FINANCIAL OFFICER, VP FINANCE)
- **Authorized official phone:** (215) 339-4223

## Contact information

- **Practice address:** 1900 S BROAD ST, PHILADELPHIA, PA 19145-2304
- **Practice address phone:** (215) 339-4100
- **Practice address fax:** (215) 339-0482
- **Mailing address:** 1900 S BROAD ST, PHILADELPHIA, PA 19145-2304
- **Mailing address phone:** (215) 339-4100
- **Mailing address fax:** (215) 339-0482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 971002 | PA | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 08/22/2020