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Organization
RELIANT AUDUBON HOLDINGS LLC
Active
Organization
RELIANT AUDUBON HOLDINGS LLC
Active
Other names
Audubon Villa Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC MYZAL (COO)
(215) 558-3700
Entity
Organization
Contact information
Practice address
125 S BROAD ST, LITITZ, PA 17543-1808
(717) 626-0211
Mailing address
3601 ISLAND AVE, PHILADELPHIA, PA 19153-3228
(215) 558-3700
(215) 558-3701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
04/17/2012
Last updated
04/29/2016
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