Organization
SAINT JOSEPH VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER DOROTHY APPRICH (ADMINISTRATOR)
(215) 836-4179
Entity
Organization
Contact information
Practice address
110 W WISSAHICKON AVE, FLOURTOWN, PA 19031-1802
(215) 836-4179
(215) 248-7845
Mailing address
110 W WISSAHICKON AVE, FLOURTOWN, PA 19031-1802
(215) 836-4179
(215) 248-7845
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
711102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006091000
IBC/KEYSTONE/PC
PA
05
—
0015804150002
—
PA
01
—
1050743
KEYSTONE MERCY
PA
Enumeration date
07/18/2005
Last updated
12/06/2011
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