Provider Demographics
NPI:1568629434
Name:BRITTANY MANOR LP
Entity Type:Organization
Organization Name:BRITTANY MANOR LP
Other - Org Name:BRITTANY MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-880-4641
Mailing Address - Street 1:230 N 65TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-1006
Mailing Address - Country:US
Mailing Address - Phone:215-471-8224
Mailing Address - Fax:215-471-8221
Practice Address - Street 1:230 N 65TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-1006
Practice Address - Country:US
Practice Address - Phone:215-471-8224
Practice Address - Fax:215-471-8221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA130151311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home