Organization
SAINT IGNATIUS NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W MEACHAM (ADMINISTRATOR)
(215) 349-8800
Entity
Organization
Contact information
Practice address
4401 HAVERFORD AVE, PHILADELPHIA, PA 19104-1332
(215) 349-8800
(215) 222-3078
Mailing address
4401 HAVERFORD AVE, PHILADELPHIA, PA 19104-1332
(215) 349-8800
(215) 222-3078
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
450602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007508240001
—
PA
01
—
0649930001
NSC
PA
Enumeration date
07/05/2006
Last updated
03/04/2010
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