OrganizationActive
10400 Roosevelt Operating, LLC
NPI 1659789949 · Skilled Nursing Facility · Philadelphia, PA
Provider details
- NPI number
- 1659789949
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Charles-Edouard Gros, Manager
Practice location
10400 Roosevelt Blvd
Philadelphia, PA 19116-3905
Phone: (610) 698-5619
Mailing address
701 Lansdale Ave
Lansdale, PA 19446-2958
Registry dates
- Enumerated
- 2014-07-30
- Last updated
- 2014-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.