Organization
WYNCOTE CHURCH HOME
Active
Other names
Phoebe Wyncote
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT R STEVENSON (PRESIDENT/CEO)
(610) 794-5131
Entity
Organization
Contact information
Practice address
208 FERNBROOK AVENUE, WYNCOTE, PA 19095-1509
(215) 883-2620
(215) 885-9245
Mailing address
208 FERNBROOK AVENUE, WYNCOTE, PA 19095-1532
(215) 883-2620
(215) 690-3340
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
232102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007565230002
—
PA
Enumeration date
08/31/2006
Last updated
12/22/2015
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