Organization
REGINA COMMUNITY NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY BONJO (ADMINISTRATOR)
(610) 272-5600
Entity
Organization
Contact information
Practice address
550 E FORNANCE ST, NORRISTOWN, PA 19401-3536
(610) 272-5600
(610) 279-0529
Mailing address
550 E FORNANCE ST, NORRISTOWN, PA 19401-3536
(610) 272-5600
(610) 279-0529
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NF-182002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005822000
INDEPENCE BLUE CROSS #
PA
05
—
1007457290004
—
PA
Enumeration date
06/01/2006
Last updated
05/03/2012
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