Bancroft Neurohealth
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Broomall, PA
NPI 1801919915 · NPPES record last updated Mar 14, 2012
Key facts
- NPI
- 1801919915
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 135180 (PA)
- Legal business name
- BANCROFT NEUROHEALTH
- Practice address
- 2603 Springfield Rd
Broomall, PA 19008-2133 - Phone
- (610) 325-2851
- Fax
- (610) 353-4056
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Sharon E Williams-Taylor, MS STRL
- Title
- Senior Director
- Phone
- (610) 747-0290
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Bancroft Neurohealth
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 135180 | PA | Yes |
Addresses
Primary practice location
2603 Springfield Rd
Broomall, PA 19008-2133
Mailing address
304 Old Lancaster Rd
Merion Station, PA 19066-1526
Phone (610) 747-0290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101112176-0031 | Medicaid | PA |
Other names
- The Walker Memorial Training Center
Other providers in Broomall, PA
- Skyler Patricia Lee Bailey
- Michael Vincent Baio
- Matthew John Bald
- Justin Kyle Balliet
- Bancroft Neurohealth
- Siani Barnes
- Bruce Barris
- Kimberly Ann Bass
- Bethann Batewell
- Bayada Home Health Care, Inc.
All providers in Broomall, PA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.