Organization
PENN CENTER FOR REHABILIATION AND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS VENZIE NHA (ADMINISTRATOR)
(215) 823-4747
Entity
Organization
Contact information
Practice address
3609 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
(215) 386-2942
(215) 386-3335
Mailing address
3609 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
(215) 386-2942
(215) 662-9686
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
180102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010643250002
—
PA
01
—
1164469003
NPI
PA
Enumeration date
05/31/2006
Last updated
02/17/2016
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