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St. Agnes Continuing Care Center — NPI 1174881627, Philadelphia, PA | NPI Central

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NPI 1174881627

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St. Agnes Continuing Care Center

NPI 1174881627 · PACE Provider Organization · Philadelphia, PA

Provider details

NPI number: 1174881627
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Organization subpart: No
Authorized official: Joseph Bradley, Svp of Finance(610) 567-6770
License: H3919 (PA)

Specialties & taxonomies

PACE Provider OrganizationPrimary251T00000XLicense H3919 (PA)
Agencies

Practice location

1930 S Broad St

Philadelphia, PA 19145-2328

Phone: (215) 339-4563

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

1930 S Broad St

Philadelphia, PA 19145-2328

Other names (DBA / former)

Doing business as: Mercy Life

Registry dates

Enumerated: 2012-05-02
Last updated: 2012-05-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.