Organization
ST MONICA MANOR
Active
Parent organization
CATHOLIC HEALTHCARE SERVICES
Other names
St Monica Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC HEALTHCARE SERVICES
Authorized official
MR. MICHAEL CZEKNER (CHIEF FINANCIAL OFFICER)
(215) 368-0900
Entity
Organization
Contact information
Practice address
2509 S 4TH ST, PHILADELPHIA, PA 19148-4712
(215) 271-1080
(215) 271-6290
Mailing address
2509 S 4TH ST, PHILADELPHIA, PA 19148-4712
(215) 271-1080
(215) 271-6290
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
232602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001247000
IBC
PA
05
—
1010293650001
—
PA
Enumeration date
12/01/2005
Last updated
06/18/2008
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