# MARY J DREXEL HOME

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

## Provider details

- **NPI number:** 1386642171
- **Authorized official:** MS. KATHLEEN CHALEK R.N., NHA (ADMINISTRATOR)
- **Authorized official phone:** (610) 664-5967

## Contact information

- **Practice address:** 238 BELMONT AVE, BALA CYNWYD, PA 19004-2334
- **Practice address phone:** (610) 664-5967
- **Practice address fax:** (610) 664-6687
- **Mailing address:** 238 BELMONT AVE, BALA CYNWYD, PA 19004-2334
- **Mailing address phone:** (610) 664-5967
- **Mailing address fax:** (610) 664-6687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 131402 | PA | Yes |

## Other

- **Enumeration date:** 07/14/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0006109000 | INDEPENDENCE BLUE CROSS | PA |
| 05 | — | 0007463850001 | — | PA |
| 01 | — | 00746385-01 | AMERICHOICE | PA |
| 01 | — | 0944483 | AETNA | PA |
| 01 | — | 21577 | HEALTH PARTNERS | PA |