Provider Demographics
NPI:1730741984
Name:SKILLED NURSING INC
Entity type:Organization
Organization Name:SKILLED NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA JEAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MINNITI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-603-4736
Mailing Address - Street 1:955 HORSHAM RD STE 303
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1252
Mailing Address - Country:US
Mailing Address - Phone:215-603-4736
Mailing Address - Fax:215-773-8062
Practice Address - Street 1:955 HORSHAM RD STE 303
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1252
Practice Address - Country:US
Practice Address - Phone:215-603-4736
Practice Address - Fax:215-773-8062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty