St Agnes Continuing Care Center
St Agnes Continuing Care Center is a PACE Provider Organization in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.
- Licensed in
- PA
- In the registry since
- 2012
Practice location Address checks out
1930 S Broad StPhiladelphia, PA 19145-2328
Phone: (215) 339-4563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X · Licence H3919 (PA) |
|---|
Record details
| NPI number | 1174881627 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Bradley — Svp Of Finance · (610) 567-6770 |
| Other names | Mercy Life |
| NPI enumerated | May 2, 2012 |
| Last updated in NPPES | May 2, 2012 |
| Mailing address | 1930 S Broad St, Philadelphia, PA 19145-2328 |
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