Organization
PENNSYLVANIA LTC INC
Active
Other names
Edgehill Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4321
Entity
Organization
Contact information
Practice address
146 EDGE HILL RD, GLENSIDE, PA 19038-3004
(215) 886-1043
(215) 886-2719
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 347-4099
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
052702
PA
332BN1400X
Nursing Facility Supplies (DME)
052702
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
052702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007653650003
—
PA
Enumeration date
12/16/2005
Last updated
09/01/2010
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