Organization · Type 2 NPI

Evangelical Manor

Skilled Nursing Facility · Philadelphia, PA

NPI number 1043207152 Active

Practice location

8401 Roosevelt Blvd
Philadelphia, PA 19152-2034

Fax (215) 335-1477

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X311202 (PA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1043207152

Evangelical Manor's National Provider Identifier is 1043207152, issued on Oct 4, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Philadelphia, PA. The record was last updated on May 28, 2026.