Organization
PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
Active
Other names
DELAWARE VALLEY VETERANS HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS REED JR. (FISCAL SERVICES ADMINISTRATOR)
(814) 242-7789
Entity
Organization
Contact information
Practice address
2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
(215) 965-5900
(215) 965-0377
Mailing address
2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
(215) 965-5900
(215) 965-0377
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
12720200
PA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
12720200
PA
332B00000X
Durable Medical Equipment & Medical Supplies
12720200
PA
Other
Enumeration date
08/30/2006
Last updated
05/24/2022
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