# THE 58TH STREET PRESBYTERIAN HOMES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Presbyterian Homes At 58th Street
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588708655
- **Authorized official:** SHARON WHITAKER (ADMINISTRATOR)
- **Authorized official phone:** (215) 724-2218

## Contact information

- **Practice address:** 2050 S 58TH ST, PHILADELPHIA, PA 19143-5932
- **Practice address phone:** (215) 724-2218
- **Practice address fax:** (215) 724-6924
- **Mailing address:** 2050 S 58TH ST, PHILADELPHIA, PA 19143-5932
- **Mailing address phone:** (215) 724-2218
- **Mailing address fax:** (215) 724-6924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 316170 | PA | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007778850002 | — | PA |