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
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
Authorized Official Name Tilson E Norman
Telephone Number 2158363131

NPI Number Detail

NPI Number 1467635110
Provider Enumeration Date 2007-12-17
Last Updated Date 2018-04-19

Provider Mailing Address Detail

Address 2991 W School House Ln Apt C12e
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
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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FAQs about Merakey Idd Philadelphia

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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