License holder summary

ELLEN THERESA VAN FOSSEN is a Temporary Nursing Home Administrator licensed to practice in Pennsylvania. The address on file for ELLEN THERESA VAN FOSSEN is PHILADELPHIA PA 19128.

Pennsylvania

Department of State

ELLEN THERESA VAN FOSSEN
Temporary Nursing Home Administrator
License number
NH006052L
Class
Temporary Nursing Home Administrator
Status
Voided
Address
PHILADELPHIA PA 19128
palicensing.org
ID 16920159
LAST UPDATED 2024-05-07 08:53:38 UTC

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