NPI 1174881627

St. Agnes Continuing Care Center

Organisation PACE Provider Organization Philadelphia, PA

Practice location

Address: 1930 S Broad St, Philadelphia, PA 19145-2328
Phone: (215) 339-4563

Authorised official

Name: Joseph Bradley
Title: Svp of Finance
Phone: (610) 567-6770

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence H3919 (PA)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Pennsylvania →

Registry record

NPI: 1174881627
Entity type: Organization
NPI issued: 2 May 2012
Record last updated: 2 May 2012

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.