Elwyn of Pennsylvania and Delaware
NPI #1801936927 in Elwyn, Pennsylvania
Provider Information
- NPI Number
- 1801936927
- Entity Type
- Organization
- Organization Name
- Elwyn of Pennsylvania and Delaware
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 7, 2007
- Last Updated
- May 6, 2024
Practice Location
- Address
- 111 ELWYN RD
- Address 2
- ICF MR ADULT RESIDENTIAL
- City
- Elwyn
- State
- Pennsylvania
- ZIP Code
- 19063-4622
- Phone
- (610) 891-7692
Authorized Official
- Name
- DONNA K BUSCH
- Title
- DIR CONTRACTING AND CREDENTIALING
- Phone
- (452) 063-0284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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