Organization
BANCROFT NEUROHEALTH
Active
Other names
The Walker Memorial Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON E WILLIAMS-TAYLOR M.S. STLDR (SENIOR DIRECTOR)
(610) 747-0290
Entity
Organization
Contact information
Practice address
1424 EDGEVALE LN, WYNNEWOOD, PA 19096-3808
(610) 658-5538
(610) 747-0294
Mailing address
304 OLD LANCASTER RD, MERION STATION, PA 19066-1526
(610) 747-0290
(610) 747-0294
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
135180
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101112176-0017
—
PA
Enumeration date
03/23/2007
Last updated
03/01/2012
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