# BAKERS BAY NURSING ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649265414
- **Authorized official:** MRS. ANDREA M NATICCHIONE (MANAGING PARTNER)
- **Authorized official phone:** (610) 832-8000

## Contact information

- **Practice address:** 9501 STATE RD, PHILA, PA 19114-3020
- **Practice address phone:** (215) 632-5700
- **Mailing address:** 9501 STATE RD, PHILA, PA 19114-3020
- **Mailing address phone:** (215) 632-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 183502 | PA | Yes |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 09/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005611000 | IBC | PA |
| 05 | — | 0009938310002 | — | PA |