Organization
STAPELEY HALL
Active
Other names
Wesley Enhanced Living at Stapeley
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE CONNER (CORPORATE DIRECTOR OF RCM)
(267) 885-6232
Entity
Organization
Contact information
Practice address
6300 GREENE ST, PHILADELPHIA, PA 19144-2510
(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
314000000X
Skilled Nursing Facility
Primary
455502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010355390002
—
PA
Enumeration date
07/18/2006
Last updated
05/28/2026
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