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NPI Code Detail

MEDICARE: PENN CENTER FOR REHABILIATION AND CARE

MEDICARE: PENN CENTER FOR REHABILIATION AND CARE
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
1314000000XSkilled Nursing Facility180102PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11164469003OTHERPANPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164469003
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENN CENTER FOR REHABILIATION AND CARE
Provider Business Mailing Address
First Line : 3609 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2612
Country : US
Telephone Number : 215-386-2942
Fax Number : 215-662-9686
Provider Business Practice Location Address
First Line : 3609 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2612
Country : US
Telephone Number : 215-386-2942
Fax Number : 215-386-3335
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. DOUGLAS VENZIE
Credential : NHA
Telephone Number : 215-823-4747
Provider Enumeration Date : 05/31/2006
Last Update Date : 02/17/2016

Similar Medicare Providers

1417410333 — DR. LILLI HANNA FLINK MD
Practice Location Address:
3615 CHESTNUT ST , RALSTON PENN CENTER
PHILADELPHIA, PA
19104-2612
Practice Phone: 215-662-2746
Practice Fax: 215-349-5648
1164422564 — JOSHUA DANIEL UY MD
Practice Location Address:
3615 CHESTNUT STREET , RALSTON - PENN CENTER
PHILADELPHIA, PA
19104-2612
Practice Phone: 215-662-2746
Practice Fax: 215-349-5648
1376523977 — DR. PATRICIA A BOKEN MD
Practice Location Address:
3615 CHESTNUT ST
PHILADELPHIA, PA
19104-2612
Practice Phone: 215-662-2746
Practice Fax:
1992746754 — MARY ANN FORCIEA MD
Practice Location Address:
3615 CHESTNUT STREET , RALSTON - PENN CENTER
PHILADELPHIA, PA
19104-2612
Practice Phone: 215-662-2746
Practice Fax: 215-349-5648
1093758310 — JOHN M BRUZA MD
Practice Location Address:
3615 CHESTNUT STREET , RALSTON - PENN CENTER
PHILADELPHIA, PA
19104-2612
Practice Phone: 215-662-2746
Practice Fax: 215-349-5648
1497767495 — UNIVERSITY OF PENN - MEDICAL GROUP
Practice Location Address:
3615 CHESTNUT ST , RALSTON-PENN CENTER
PHILADELPHIA, PA
19104-2612
Practice Phone: 215-662-2746
Practice Fax: 215-349-5648

Directions to “PENN CENTER FOR REHABILIATION AND CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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