# THE PRESBYTERIAN HOME AT 58TH STREET

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 58th Street Presbyterian Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467449322
- **Authorized official:** MRS. CYNTHIA E HOFFMAN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (610) 260-1133

## Contact information

- **Practice address:** 2050 SOUTH 58TH STREET, PHILADELPHIA, PA 19143-5910
- **Practice address phone:** (215) 724-2218
- **Practice address fax:** (215) 724-6924
- **Mailing address:** 2000 JOSHUA RD, LAFAYETTE HILL, PA 19444-2430
- **Mailing address phone:** (610) 834-1001
- **Mailing address fax:** (610) 834-6556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 421902 | PA | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 07/06/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100777885 | — | PA |