Icf Mr Adult Main Campus

LBN: Elwyn Of Pennsylvania And Delaware
Icf Mr Adult Main Campus is an health care organization with primary practice located at 111 Elwyn Rd Icf Mr Adult Residential, Elwyn PA 19063-4622. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Elwyn Of Pennsylvania And Delaware can be contacted via phone (610) 891-7692, or through Busch, Donna K via phone (452) 063-0284.

Contact Information

Primary practice address
111 Elwyn Rd Icf Mr Adult Residential Elwyn PA 19063-4622
Phone: (610) 891-7692
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Busch, Donna K
Phone: (452) 063-0284

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1801936927
LBN Legal business name Elwyn Of Pennsylvania And Delaware
DBA Doing business as Icf Mr Adult Main Campus
Authorized official Busch, Donna K
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated May 6th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801936927 NPPES
Pennsylvania MEDICAID 1000021240254

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