Organization
RELIANT NIPPLE HOLDINGS LLC
Active
Other names
Nipple Convalescent Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARC MYZAL (COO)
(215) 558-3700
Entity
Organization
Contact information
Practice address
100 SOUTH FRONT ST, LIVERPOOL, PA 17045-0610
(717) 444-3413
Mailing address
3601 ISLAND AVE, PHILADELPHIA, PA 19153-3228
(215) 558-3700
(215) 558-3701
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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