Organization
MARY J DREXEL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN CHALEK R.N., NHA (ADMINISTRATOR)
(610) 664-5967
Entity
Organization
Contact information
Practice address
238 BELMONT AVE, BALA CYNWYD, PA 19004-2334
(610) 664-5967
(610) 664-6687
Mailing address
238 BELMONT AVE, BALA CYNWYD, PA 19004-2334
(610) 664-5967
(610) 664-6687
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006109000
PERSONAL CHOICE
PA
05
—
0007463850001
—
PA
01
—
00746385-01
AMERICHOICE
PA
01
—
0944483
AETNA
PA
01
—
21577
SENIOR PARTNERS
PA
Enumeration date
07/14/2005
Last updated
08/22/2020
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