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Contact Information

PENNSYLVANIA LTC INC
146 EDGE HILL RD
GLENSIDE, PA19038-3004
 Phone: 215-886-1043
 Fax: 215-886-2719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PENNSYLVANIA LTC INC

NPI # 1801872320
LBN Legal business name PENNSYLVANIA LTC INC
Authorized official JANE DROPESKEY - (CORPORATE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2005
Last updated 09/01/2010 - About 16 years ago
Identifiers
PA License # 052702
PA Medicaid 1007653650003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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