Organization
WT OPERATING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BLEIER (MANAGING MEMBER)
(516) 303-0132
Entity
Organization
Contact information
Practice address
1 PENN BLVD, PHILADELPHIA, PA 19144
(215) 951-8500
Mailing address
8301 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2006
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034831460001
—
PA
Enumeration date
05/07/2018
Last updated
07/18/2018
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