Organization
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BASCOU (NHA)
(215) 709-4000
Entity
Organization
Contact information
Practice address
1930 SOUTH BROAD STREET, PHILADELPHIA, PA 19145
(484) 342-4153
(610) 862-0614
Mailing address
350 W MAIN ST STE 101, TRAPPE, PA 19426-1989
(484) 342-4153
(610) 862-0614
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
11/11/2025
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