Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
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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