Merakey Idd Philadelphia in Philadelphia - Community Based Residential Treatment Facility, Mental Illness
Merakey Idd Philadelphia - NPI 1467635110
Merakey Idd Philadelphia is a Community Based Residential Treatment Facility, Mental Illness in Philadelphia, Pennsylvania. Merakey Idd Philadelphia practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Merakey Idd Philadelphia is 1467635110. The last update date is 2018-04-19.
Merakey Idd Philadelphia's current location address is 2991 W School House Ln Apt C12e, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158442758 and fax number 2153202041. The mailing address for Merakey Idd Philadelphia is 2991 W School House Ln Apt C12e, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Merakey Idd Philadelphia |
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Address | 2991 W School House Ln Apt C12e, Philadelphia, Pennsylvania |
Phone Number | 2158442758 |
Fax Number | 2153202041 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CORP SR. D |
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Authorized Official Name | Tilson E Norman |
Telephone Number | 2158363131 |
NPI Number Detail
NPI Number | 1467635110 |
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Provider Enumeration Date | 2007-12-17 |
Last Updated Date | 2018-04-19 |
Provider Mailing Address Detail
Address | 2991 W School House Ln Apt C12e |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191445350 |
Phone Number | 2158442758 |
Fax Number | 2153202041 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | 126430 |
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the Merakey Idd Philadelphia's unique identification number?
The Merakey Idd Philadelphia has been assigned the NPI (National Provider Identifier) Number 1467635110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Merakey Idd Philadelphia is located?
The Merakey Idd Philadelphia is situated at the following address: 2991 W School House Ln Apt C12E, Philadelphia, PA, 191445350.
What is Merakey Idd Philadelphia's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Merakey Idd Philadelphia's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
When did the Merakey Idd Philadelphia receive its 1467635110?
The Merakey Idd Philadelphia was issued its 1467635110 on 2007-12-17, which is the date when the organization was assigned this unique identifier.
As of what date were the Merakey Idd Philadelphia's details last updated?
The information pertaining to the Merakey Idd Philadelphia, including its address, specialty, and other details, was most recently updated on 2018-04-19.
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