2990 Holme Operating, LLC
Skilled Nursing Facility in Philadelphia, PA. Organization (NPI-2).
NPI number1134537426
StatusActive
Last updated in NPPESJul 30, 2014
Details
- NPI
- 1134537426
- Entity type
- Organization (NPI-2)
- Legal business name
- 2990 Holme Operating, LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2014
- Last updated
- Jul 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Immaculate Mary Center For Rehabilitation & Healthcare (Doing Business As)
Practice location
2990 Holme AvePhiladelphia, PA 19136-1830
Phone 215-335-2100
Mailing address
701 Lansdale AveLansdale, PA 19446-2958
Authorized official
Charles-Edouard Gros
Manager
7183608083
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