Organization
COMHAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW ELAVUMKAL (CEO)
(215) 203-3000
Entity
Organization
Contact information
Practice address
129 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-3916
(215) 427-6606
Mailing address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4039
(215) 203-3000
(215) 203-3078
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000004060114
MA SERVICE LOCATION
PA
Enumeration date
07/11/2007
Last updated
07/11/2007
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