Organization
BROTHERS OF CHARITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH LONSWAY MAT (DIRECTOR)
(215) 887-6361
Entity
Organization
Contact information
Practice address
7720 DOE LN, LAVEROCK, PA 19038-7228
(215) 887-6361
(215) 887-6372
Mailing address
7720 DOE LN, LAVEROCK, PA 19038-7228
(215) 887-6361
(215) 887-6372
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
120560
PA
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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