39D0909385 CLIA NUMBER - WESLEY ENHANCED LIVING AT STAPELEY

Laboratory Demographics

CLIA Number: 39D0909385

Facility Name: WESLEY ENHANCED LIVING AT STAPELEY

Facility Address:
6300 GREENE STREET
PHILADELPHIA, PA
ZIP 19144
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Facility Phone Number: 215 844-0700

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1295753978

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	39D0909385
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	WESLEY ENHANCED LIVING AT STAPELEY
Street	6300 GREENE STREET
City	PHILADELPHIA
State	PA
ZIP	19144
Phone	215 844-0700
CertificateType	4
CertificateEffectiveDate	8/18/2022
CertificateExpirationDate	8/17/2024
FacilityType	Waiver

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