Organization
MERAKEY WOODHAVEN
Active
Other names
NHS Woodhaven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS)
(215) 836-3131
Entity
Organization
Contact information
Practice address
2900 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1202
(215) 836-3131
(215) 273-5975
Mailing address
620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1810
(215) 836-3131
(215) 273-5975
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000015750039
—
PA
Enumeration date
04/10/2007
Last updated
02/07/2024
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