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Organization · Pediatric Skilled Nursing Facility · Philadelphia, PA

NPI

1972896363

Type

Organization (Type 2)

Primary specialty

Pediatric Skilled Nursing Facility (Skilled Nursing Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3140N1450X

License number

04390501 (PA)

Enumerated

2011-05-18

Last updated

2026-03-24