Organization
CAMPHILL SOLTANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH EAGEN (DAY SUPPORTS DIRECTOR)
(610) 469-0933
Entity
Organization
Contact information
Practice address
224 NANTMEAL RD, GLENMOORE, PA 19343-2637
(610) 469-0933
(610) 469-1054
Mailing address
224 NANTMEAL RD, GLENMOORE, PA 19343-2637
(610) 469-0933
(610) 469-1054
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102155365
MEDICAL ASSISTANCE
PA
Enumeration date
03/25/2015
Last updated
03/25/2015
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