NPI 1043207152

Evangelical Manor

Organisation Skilled Nursing Facility Philadelphia, PA

Practice location

Address: 8401 Roosevelt Blvd, Philadelphia, PA 19152-2034
Phone: (215) 624-5800
Fax: (215) 335-1477

Authorised official

Name: Ronnie Conner
Title: Corporate Director of Rcm
Phone: (267) 885-6232

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 311202 (PA)

Other Skilled Nursing Facility providers in Pennsylvania →

Registry record

NPI: 1043207152
Entity type: Organization
NPI issued: 4 Oct 2005
Record last updated: 28 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.