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Organization
THE 58TH STREET PRESBYTERIAN HOMES
Active
Organization
THE 58TH STREET PRESBYTERIAN HOMES
Active
Other names
The Presbyterian Homes At 58th Street
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON WHITAKER (ADMINISTRATOR)
(215) 724-2218
Entity
Organization
Contact information
Practice address
2050 S 58TH ST, PHILADELPHIA, PA 19143-5932
(215) 724-2218
(215) 724-6924
Mailing address
2050 S 58TH ST, PHILADELPHIA, PA 19143-5932
(215) 724-2218
(215) 724-6924
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
316170
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007778850002
—
PA
Enumeration date
02/20/2007
Last updated
08/22/2020
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