Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Dauphin County CRR
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (PAYER CONTRACT SPECIALIST)
(610) 639-6932
Entity
Organization
Contact information
Practice address
2003 N 3RD ST, HARRISBURG, PA 17102-1804
(717) 233-2870
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240489
—
PA
05
—
1000021240660
—
PA
Enumeration date
11/17/2008
Last updated
06/22/2021
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