Bancroft Neurohealth
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA. Organization (NPI-2).
NPI number1720105570
StatusActive
Last updated in NPPESMar 14, 2012
Details
- NPI
- 1720105570
- Entity type
- Organization (NPI-2)
- Legal business name
- Bancroft Neurohealth
- Organization subpart
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Mar 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 135180 | PA | Yes |
Other names
- The Walker Memorial Training Center (Former Legal Business Name)
Practice location
3901 Conshohocken AveGreenbriar - #4311
Philadelphia, PA 19131-5430
Phone 215-877-2373 · Fax 610-747-0294
Mailing address
304 Old Lancaster RdMerion Station, PA 19066-1526
Phone 610-727-0290 · Fax 610-747-0294
Authorized official
Sharon E Williams-Taylor
Senior Director
6107470290
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