Organization
THE 58TH STREET PRESBYTERIAN HOMES
Active
Other names
The Presbyterian Homes At 58th Street
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON WHITAKER (ADMINISTRATOR)
(215) 724-2218
Entity
Organization
Contact information
Practice address
2050 S 58TH ST, PHILADELPHIA, PA 19143-5932
(215) 724-2218
(215) 724-6924
Mailing address
2050 S 58TH ST, PHILADELPHIA, PA 19143-5932
(215) 724-2218
(215) 724-6924
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
316170
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007778850002
—
PA
Enumeration date
02/20/2007
Last updated
08/22/2020
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