Organization
SILVER LAKE CENTER , INC
Active
Other names
Silver Lake Center
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JAFFE (PRESIDENT)
(215) 346-6454
Entity
Organization
Contact information
Practice address
905 TOWER RD, BRISTOL, PA 19007-3116
(215) 785-3201
(215) 785-2109
Mailing address
1675 PALM BEACH LAKES BLVD, SUITE 900, WEST PALM BEACH, FL 33401
(561) 801-7600
(414) 268-4811
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102260478-0001
—
PA
Enumeration date
06/13/2005
Last updated
10/05/2012
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