Organization
PENN FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE A. MUGRAUER MPA (CHIEF EXECUTIVE OFFICER PRESIDENT)
(215) 453-5160
Entity
Organization
Contact information
Practice address
807 LAWN AVE, SELLERSVILLE, PA 18960-1549
(215) 257-6551
(215) 257-9347
Mailing address
807 LAWN AVENUE, PO BOX 32, SELLERSVILLE, PA 18960
(215) 257-6551
(215) 257-9347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129323
HEALTH CHOICES
PA
05
—
PE113171
—
PA
Enumeration date
03/21/2006
Last updated
11/19/2014
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