Organization
COUNTY OF CHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY F ENTREKIN (ADMINISTRATOR)
(610) 344-5664
Entity
Organization
Contact information
Practice address
601 WESTTOWN ROAD, SUITE 340, WEST CHESTER, PA 19380-0990
(610) 344-5664
Mailing address
601 WESTTOWN ROAD, SUITE 340, WEST CHESTER, PA 19380-0990
(610) 344-5664
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007655340020
—
PA
Enumeration date
09/01/2005
Last updated
03/08/2016
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