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NPI Code Detail

MEDICARE: SAINT AGNES CONTINUING CARE CENTER

MEDICARE: SAINT AGNES CONTINUING CARE CENTER
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
1251T00000XPACE Provider Organization

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881738565
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT AGNES CONTINUING CARE CENTER
Provider Business Mailing Address
First Line : 1900 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-2304
Country : US
Telephone Number : 215-339-4223
Fax Number : 215-339-0482
Provider Business Practice Location Address
First Line : 1900 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-2304
Country : US
Telephone Number : 215-339-4223
Fax Number : 215-339-0482
Authorized Official
Title or Position : DIRECTOR OF FINANCE
Name : MR. DAVID SCHMOTZER SR.
Credential :
Telephone Number : 215-339-4533
Provider Enumeration Date : 02/16/2007
Last Update Date : 04/11/2019

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1497839054 — DR. DONNA BRADY RAZIANO MD MBA
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1730398348 — DR. KRISTIN M SIEGEL P.T.
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Directions to “SAINT AGNES CONTINUING CARE CENTER ” Practice Location

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