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Organization
THE PRESBYTERIAN HOME AT 58TH STREET
Active
Organization
THE PRESBYTERIAN HOME AT 58TH STREET
Active
Other names
58th Street Presbyterian Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA E HOFFMAN (CHIEF FINANCIAL OFFICER)
(610) 260-1133
Entity
Organization
Contact information
Practice address
2050 SOUTH 58TH STREET, PHILADELPHIA, PA 19143-5910
(215) 724-2218
(215) 724-6924
Mailing address
2000 JOSHUA RD, LAFAYETTE HILL, PA 19444-2430
(610) 834-1001
(610) 834-6556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
421902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777885
—
PA
Enumeration date
10/05/2005
Last updated
07/06/2010
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