# PENNSYLVANIA LTC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edgehill Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801872320
- **Authorized official:** JANE DROPESKEY (CORPORATE MANAGER)
- **Authorized official phone:** (610) 925-4321

## Contact information

- **Practice address:** 146 EDGE HILL RD, GLENSIDE, PA 19038-3004
- **Practice address phone:** (215) 886-1043
- **Practice address fax:** (215) 886-2719
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-4436
- **Mailing address fax:** (610) 347-4099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 052702 | PA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 052702 | PA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 052702 | PA | — |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 09/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007653650003 | — | PA |