Organization
RELIANT AUDUBON HOLDINGS LLC
Active
Other names
Audubon Villa Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC MYZAL (COO)
(215) 558-3700
Entity
Organization
Contact information
Practice address
125 S BROAD ST, LITITZ, PA 17543-1808
(717) 626-0211
Mailing address
3601 ISLAND AVE, PHILADELPHIA, PA 19153-3228
(215) 558-3700
(215) 558-3701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/17/2012
Last updated
04/29/2016
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