Organization
DELANCO HEALTHCARE BELMONT & PARKSIDE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL GLENN JR. NHA (ADMINISTRATOR)
(215) 477-1170
Entity
Organization
Contact information
Practice address
4400 W GIRARD AVE, PHILADELPHIA, PA 19104-3434
(215) 477-1170
(215) 879-0180
Mailing address
4400 W GIRARD AVE, PHILADELPHIA, PA 19104-3434
(215) 477-1170
(215) 879-0180
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
193902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019201230001
—
PA
01
—
001997000
IBC
—
Enumeration date
11/15/2006
Last updated
04/13/2010
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