# ST MONICA MANOR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CATHOLIC HEALTHCARE SERVICES
- **Other names:** St Monica Manor
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871577155
- **Legal business name:** CATHOLIC HEALTHCARE SERVICES
- **Authorized official:** MR. MICHAEL CZEKNER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (215) 368-0900

## Contact information

- **Practice address:** 2509 S 4TH ST, PHILADELPHIA, PA 19148-4712
- **Practice address phone:** (215) 271-1080
- **Practice address fax:** (215) 271-6290
- **Mailing address:** 2509 S 4TH ST, PHILADELPHIA, PA 19148-4712
- **Mailing address phone:** (215) 271-1080
- **Mailing address fax:** (215) 271-6290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 232602 | PA | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001247000 | IBC | PA |
| 05 | — | 1010293650001 | — | PA |