Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn of Pennsylvania and Delaware Nether Providence
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (DIR PAYER CONTRACT & CREDENTIALING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
3 IRVING RD, WALLINGFORD, PA 19086-6626
(610) 891-2000
Mailing address
111 ELWYN RD, CRS, ELWYN, PA 19063-4622
(610) 891-7081
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240212
—
PA
Enumeration date
03/12/2007
Last updated
02/10/2025
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