| Organization Name: | VINCENT HEALTHCARE, INC. |
| NPI Number: | 1073823878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIE WHITMAN MANGINO (PRESIDENT) |
| Mailing Address: | 851 Skyline Dr Erdenheim |
| State: | PA US |
| Postal Code: | 190381846 |
| Phone Number: | 2152335058 |
| Fax Number: | 2158362797 |
| NPI Enumeration Date: | 10/14/2010 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |