39D0870235 CLIA NUMBER - MONTGOMERY SUBACUTE & RESP CTR

Laboratory Demographics

CLIA Number: 39D0870235

Facility Name: MONTGOMERY SUBACUTE & RESP CTR

Facility Address:
251 STENTON AVENUE
PLYMOUTH MEETING, PA
ZIP 19462
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Facility Phone Number: 610 862-0631

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1710978226

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 39D0870235
LAB Type Other
Facility Name MONTGOMERY SUBACUTE & RESP CTR
Street 251 STENTON AVENUE
City PLYMOUTH MEETING
State PA
ZIP 19462
Phone 610 862-0631
CertificateType 4
CertificateEffectiveDate 8/25/2023
CertificateExpirationDate 8/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024