Walker Memorial Training Center

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

173620 Issued in PA

Legal business name

WALKER MEMORIAL TRAINING CENTER

Practice address

521 Glen Arbor Dr
Wynnewood, PA 19096-2611

Phone

(610) 642-8084

Fax

(610) 747-0294

NPI assigned

Mar 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharon E Williams-Taylor, M.S. STLDR

Title

Executive Director

Phone

(610) 747-0290

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1255458287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 OLD LANCASTER RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661526",
            "telephone_number": "610-747-0290",
            "fax_number": "610-747-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 GLEN ARBOR DR",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962611",
            "telephone_number": "610-642-8084",
            "fax_number": "610-747-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER MEMORIAL TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-TAYLOR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-747-0290",
        "authorized_official_credential": "M.S. STLDR"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "173620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna Vyas
• Risa Miriam Herbstman Wachtler, RD, CDCES
• Christopher Ike Wachuku Jr., MD
• Aaron Jeffrey Wagner, M.D.
• Walgreen Co.
• Tyler John Walter, CRNP
• Daniel Wang, MD
• Grace Wang, MD
• Lynn Wang, M.D.
• Stephanie Ward, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.