Organization
FOX SUBACUTE AT CLARA BURKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE MURRAY (ADMINISTRATOR)
(215) 343-2700
Entity
Organization
Contact information
Practice address
251 STENTON AVE, PLYMOUTH MEETING, PA 19462-1220
(610) 828-2272
Mailing address
251 STENTON AVE, PLYMOUTH MEETING, PA 19462-1220
(610) 828-2272
(610) 862-0614
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
036302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006262000
BLUE CROSS
PA
05
—
0018745120001
—
PA
01
—
2590550
AETNA
PA
Enumeration date
11/03/2005
Last updated
08/22/2020
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