Organization
HUMANGOOD PENNSYLVANIA
Active
Parent organization
HUMANGOOD PENNSYLVANIA
Other names
Rydal Park Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMANGOOD PENNSYLVANIA
Authorized official
GWEN ELLEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
(949) 463-0893
Entity
Organization
Contact information
Practice address
1515 THE FAIRWAY, JENKINTOWN, PA 19046-1435
(215) 885-6800
(215) 885-4560
Mailing address
2000 JOSHUA ROAD, LAFAYETTE HILL, PA 19444-2430
(610) 828-4848
(610) 834-6556
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
182102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007453170003
—
PA
Enumeration date
09/20/2005
Last updated
06/02/2025
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