Organization
MERAKEY PARKSIDE RECOVERY
Active
Other names
NHS Parkside Recovery
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
5429 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2223
(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
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007603690016
—
PA
05
—
1007603690017
—
PA
05
—
1007603690019
—
PA
Enumeration date
04/05/2007
Last updated
12/11/2023
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