Organization
THI OF PENNSYLVANIA AT BROOMALL, LLC
Active
Other names
Broomall Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ECCLES (PRESIDENT)
(610) 356-0800
Entity
Organization
Contact information
Practice address
50 N MALIN RD, BROOMALL, PA 19008-1429
(610) 356-0800
(610) 325-9499
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1957820
—
PA
Enumeration date
10/07/2006
Last updated
11/06/2007
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