# POWERBACK WILLOW GROVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548664675
- **Authorized official:** DR. KATHRYN BARRY (PROGRAM MANAGER)
- **Authorized official phone:** (215) 830-5127

## Contact information

- **Practice address:** 3485 DAVISVILLE RD, HATBORO, PA 19040-4220
- **Practice address phone:** (215) 830-5126
- **Mailing address:** 3485 DAVISVILLE RD, HATBORO, PA 19040-4220
- **Mailing address phone:** (215) 830-5126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 10/17/2014