Organization
PARK PLEASANT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY JUDITH KLEINBERG (OWNER)
(215) 727-4450
Entity
Organization
Contact information
Practice address
4712 CHESTER AVE, PHILADELPHIA, PA 19143-3513
(215) 727-4450
(215) 724-6596
Mailing address
4712 CHESTER AVE, PHILADELPHIA, PA 19143-3513
(215) 727-4450
(215) 724-6596
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
420302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007576000003
—
PA
Enumeration date
12/20/2005
Last updated
11/12/2008
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