Organization
BAKERS BAY NURSING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA M NATICCHIONE (MANAGING PARTNER)
(610) 832-8000
Entity
Organization
Contact information
Practice address
9501 STATE RD, PHILA, PA 19114-3020
(215) 632-5700
Mailing address
9501 STATE RD, PHILA, PA 19114-3020
(215) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
183502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005611000
IBC
PA
05
—
0009938310002
—
PA
Enumeration date
09/16/2005
Last updated
09/20/2012
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