Organization
ELWYN
Active
Other names
CRS Chichester
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL REARDON MBA (VICE PRESIDENT OF FINANCE)
(610) 891-2021
Entity
Organization
Contact information
Practice address
5240 CHICHESTER AVE., BOOTHWYN, PA 19061
(610) 891-7081
Mailing address
111 ELWYN RD, CRS, ELWYN, PA 19063-4622
(610) 891-7081
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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