Healthcare Provider Details

I. General information

NPI: 1801032420
Provider Name (Legal Business Name): SENIOR CARE CENTERS OF PENNSYLVANIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2009
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BLVD SILBERMAN BUILDING
CHESTER PA
19013-3902
US

IV. Provider business mailing address

6 NESHAMINY INTERPLEX SUITE 401
TREVOSE PA
19053-6964
US

V. Phone/Fax

Practice location:
  • Phone: 610-447-2935
  • Fax: 610-447-2963
Mailing address:
  • Phone: 215-642-6600
  • Fax: 215-642-6610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number304220
License Number StatePA

VIII. Authorized Official

Name: DEBORA HOCKENBURY
Title or Position: CONTRACTS MANAGER
Credential:
Phone: 215-642-6600