Organization
THE PRESBYTERIAN HOME AT 58TH STREET
Active
Other names
58th Street Presbyterian Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA E HOFFMAN (CHIEF FINANCIAL OFFICER)
(610) 260-1133
Entity
Organization
Contact information
Practice address
2050 SOUTH 58TH STREET, PHILADELPHIA, PA 19143-5910
(215) 724-2218
(215) 724-6924
Mailing address
2000 JOSHUA RD, LAFAYETTE HILL, PA 19444-2430
(610) 834-1001
(610) 834-6556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
421902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777885
—
PA
Enumeration date
10/05/2005
Last updated
07/06/2010
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