Organization
POWERBACK WILLOW GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN BARRY (PROGRAM MANAGER)
(215) 830-5127
Entity
Organization
Contact information
Practice address
3485 DAVISVILLE RD, HATBORO, PA 19040-4220
(215) 830-5126
Mailing address
3485 DAVISVILLE RD, HATBORO, PA 19040-4220
(215) 830-5126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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