# WYNCOTE CHURCH HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoebe Wyncote
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477665198
- **Authorized official:** MR. SCOTT R STEVENSON (PRESIDENT/CEO)
- **Authorized official phone:** (610) 794-5131

## Contact information

- **Practice address:** 208 FERNBROOK AVENUE, WYNCOTE, PA 19095-1509
- **Practice address phone:** (215) 883-2620
- **Practice address fax:** (215) 885-9245
- **Mailing address:** 208 FERNBROOK AVENUE, WYNCOTE, PA 19095-1532
- **Mailing address phone:** (215) 883-2620
- **Mailing address fax:** (215) 690-3340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 232102 | PA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 12/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007565230002 | — | PA |