Organization
NATIONAL NURSING CENTERS CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINE HANSEN-TURTON MGA (EXECUTIVE DIRECTOR)
(215) 731-7140
Entity
Organization
Contact information
Practice address
260 S BROAD ST, 18TH FLOOR, PHILADELPHIA, PA 19102-5021
(215) 731-7140
Mailing address
260 S BROAD ST, 18TH FLOOR, PHILADELPHIA, PA 19102-5021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016137600001
MEDICARE ID
—
Enumeration date
01/11/2008
Last updated
01/11/2008
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