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General NPI Number Information
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NPI Number | 1023168283
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Entity Type | Organization
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Legal Business Name | BALA NURSING & RET CNTR LTD PTRSHP FORD RD CORP
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 4001 FORD RD
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2833
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Country | US
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Telephone | 215-877-5400
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Fax | 215-871-3110
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Provider Business Mailing Address
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Address Line | 4001 FORD RD
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2833
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Country | US
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Telephone | 215-877-5400
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Fax | 215-871-3110
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. TODD ROBERTS
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Credential |
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Telephone | 215-877-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 041402
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License Number State | PA
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