SACRED HEART MANOR, INC
Assisted Living Facility
Philadelphia, Pennsylvania
Provider NPI: 1811994460
Organization Information:Organization Name: SACRED HEART MANOR, INC
Practice Location:
6445 GERMANTOWN AVE PHILADELPHIA, PA 19119 US
Tel: 215-438-5268 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6445 GERMANTOWN AVE PHILADELPHIA, PA 19119 US
Tel: 215-438-5268 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | 185860 |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 191802 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0007569800002 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin