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Organization

GOLDEN SLIPPER HEALTH AND REHABILITATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNETTE PALO NHA (EXECUTIVE DIRECTOR)
(215) 722-2300
Entity
Organization

Contact information

Practice address
7800 BUSTLETON AVE, PHILADELPHIA, PA 19152-3812
(215) 722-2300
(215) 722-1419
Mailing address
7800 BUSTLETON AVE, PHILADELPHIA, PA 19152-3812
(215) 722-2300
(215) 722-1419

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
210102
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006205000
INDEPENDENCE BLUE CROSS
PA
05
1007767990003
PA
Enumeration date
11/29/2005
Last updated
08/22/2020
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