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Organization
PENNSYLVANIA LTC INC
Active
Organization
PENNSYLVANIA LTC INC
Active
Other names
Edgehill Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4321
Entity
Organization
Contact information
Practice address
146 EDGE HILL RD, GLENSIDE, PA 19038-3004
(215) 886-1043
(215) 886-2719
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 347-4099
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
052702
PA
332BN1400X
Nursing Facility Supplies (DME)
052702
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
052702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007653650003
—
PA
Enumeration date
12/16/2005
Last updated
09/01/2010
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