# PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DELAWARE VALLEY VETERANS HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578672796
- **Authorized official:** MR. THOMAS REED JR. (FISCAL SERVICES ADMINISTRATOR)
- **Authorized official phone:** (814) 242-7789

## Contact information

- **Practice address:** 2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
- **Practice address phone:** (215) 965-5900
- **Practice address fax:** (215) 965-0377
- **Mailing address:** 2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
- **Mailing address phone:** (215) 965-5900
- **Mailing address fax:** (215) 965-0377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 12720200 | PA | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 12720200 | PA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 12720200 | PA | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 05/24/2022