| NPI | 1952434789 |
|---|---|
| Other Name | ELYWN-FRIENDSHIP HALL |
| Other Name | ELWYN-RAINBOW HOUSE |
| Entity Type | Organization |
| Authorized Contact | DONNA K BUSCH Payer Contract Specialist 445-206-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-02-19 |