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NPI Code Detail

MEDICARE: SENIOR CARE CENTERS OF PENNSYLVANIA, INC.

MEDICARE: SENIOR CARE CENTERS OF PENNSYLVANIA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385H00000XRespite Care
2261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1144630013
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CARE CENTERS OF PENNSYLVANIA, INC.
Provider Business Mailing Address
First Line : 6 NESHAMINY INTERPLEX
Second Line : SUITE 401
City : TREVOSE
State : PA
Zip : 19053-6964
Country : US
Telephone Number : 215-642-6600
Fax Number : 215-642-6610
Provider Business Practice Location Address
First Line : 214 E BALTIMORE AVE
Second Line :
City : CLIFTON HEIGHTS
State : PA
Zip : 19018-1634
Country : US
Telephone Number : 610-626-4270
Fax Number : 610-626-4260
Authorized Official
Title or Position : CONTRACTS MANAGER
Name : DEBORA HOCKENBURY
Credential :
Telephone Number : 215-642-6600
Provider Enumeration Date : 05/01/2014
Last Update Date : 07/06/2022

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