Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BUSCH (PAYER CONTRACT SPECIALIST)
(445) 206-3028
Entity
Organization
Contact information
Practice address
5218 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2347
(610) 891-2000
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240707
—
PA
Enumeration date
01/12/2017
Last updated
11/05/2021
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