Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Early Learning Services-Chester Upland, Elwyn Early Learning Services Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (PAYER CONTRACT MANAGER)
(610) 639-6932
Entity
Organization
Contact information
Practice address
4025 CHESTNUT ST, PHILADELPHIA, PA 19104-3054
(215) 222-5066
(215) 222-5143
Mailing address
4025 CHESTNUT ST, PHILADELPHIA, PA 19104-3054
(215) 222-5066
(215) 222-5143
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240225
—
PA
Enumeration date
08/19/2006
Last updated
07/11/2022
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