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PHILADELPHIA PROTESTANT HOME

Assisted Living Facility

Philadelphia, Pennsylvania

Provider NPI: 1477537827

Organization Information:
Organization Name:  PHILADELPHIA PROTESTANT HOME


Practice Location:
6500 TABOR RD  PHILADELPHIA, PA 19111 US
Tel: 215-697-8000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
PA144500
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
PA681002

Other Provider Identifiers:

IssuerNumberStateType
EVERCARE71-00802PA01
0007494760001PA05
IBC0005698000PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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