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Organization
MONTGOMERY COUNTY TREAS COURT HOUSE
Active
Organization
MONTGOMERY COUNTY TREAS COURT HOUSE
Active
Other names
PARKHOUSE PROVIDENCE POINTE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOU MORRISON (BILLING MANAGER)
(610) 792-2224
Entity
Organization
Contact information
Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3109
(610) 792-4026
Mailing address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3109
(610) 792-4026
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
133402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007477580001
—
PA
01
—
098416
GROUP NUMBER
PA
01
—
098438
GROUP NUMBER
PA
01
—
098439
GROUP NUMBER
PA
01
—
098450
GROUP
PA
01
—
1114195336
OEG001021
PA
01
—
1194769596
NPI
PA
01
—
1275596942
NPI
PA
01
—
1457653404
NPI
PA
01
—
1558325340
NPI
PA
01
—
1588631337
NPI
PA
05
—
1590117
—
PA
01
—
177908
GROUP NUMBER
PA
01
—
178087
GROUP NUMBER
PA
01
—
178124
GROUP NUMBER
PA
01
—
192127PAA
PTAN
PA
01
—
1952389454
NPI
PA
01
—
1962412791
NPI
PA
01
—
602031GGQ
PTAN
PA
01
—
785606GGM
PTAN
PA
01
—
MD205057E
LICENSE
PA
Enumeration date
10/11/2005
Last updated
05/05/2014
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