1412 Lansdowne Operating, LLC
NPI #1922416270 in Darby, Pennsylvania
Provider Information
- NPI Number
- 1922416270
- Entity Type
- Organization
- Organization Name
- 1412 Lansdowne Operating, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 31, 2014
- Last Updated
- Jul 31, 2014
Practice Location
- Address
- 1412 LANSDOWNE AVE
- City
- Darby
- State
- Pennsylvania
- ZIP Code
- 19023-1218
- Phone
- (610) 461-6510
Authorized Official
- Name
- CHARLES-EDOUARD GROS
- Title
- MANAGER
- Phone
- (718) 360-8083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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