- Enrollment id
- O20141112002075
- Enrollment state
- PA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1922416270
- Multiple npi flag
- N
- Ccn
- 395282
- Associate id
- 5991927659
- Organization name
- 1412 LANSDOWNE OPERATING LLC
- Doing business as name
- ST. FRANCIS CENTER FOR REHABILITATION & HEALTHCARE
- Incorporation date
- 2014-05-07
- Incorporation state
- PA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ST FRANCIS CENTER FOR REHABILITATION & HEALTHCARE
- Affiliation entity name
- CENTER MANAGEMENT GROUP
- Affiliation entity id
- 619
- Address line 1
- 1412 LANSDOWNE AVENUE
- City
- DARBY
- State
- PA
- Zip code
- 190231218