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Organization

STAPELEY HALL

Active
Other names
Wesley Enhanced Living at Stapeley
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID THOMAS JOHNSON N.H.A. (EXECUTIVE DIRECTOR)
(215) 844-0700
Entity
Organization

Contact information

Practice address
6300 GREENE ST, PHILADELPHIA, PA 19144-2596
(215) 844-0700
(215) 991-7124
Mailing address
6300 GREENE ST, PHILADELPHIA, PA 19144-2596
(215) 844-0700
(215) 991-7124

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
455502
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010355390002
PA
Enumeration date
07/18/2006
Last updated
06/16/2010
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