Organization
ST. AGNES LONG TERM INTENSIVE CARE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA A. GRESKO (CHIEF FINANCIAL OFFICER, VP FINANCE)
(215) 339-4223
Entity
Organization
Contact information
Practice address
1900 S BROAD ST, PHILADELPHIA, PA 19145-2304
(215) 339-4100
(215) 339-0482
Mailing address
1900 S BROAD ST, PHILADELPHIA, PA 19145-2304
(215) 339-4100
(215) 339-0482
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
97100101
PA
Other
Enumeration date
06/17/2005
Last updated
08/22/2020
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