Organization · Type 2 NPI

Bancroft Neurohealth

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bala Cynwyd, PA

NPI number 1578680591 Active

Practice location

26 Bala Ave
Bala Cynwyd, PA 19004-3155

Call (610) 668-1325 Map

Fax (610) 747-0294

Mailing address

304 Old Lancaster Rd
Merion Station, PA 19066-1526

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	135180 (PA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1578680591
Entity type: Organization (Type 2)
Issued: Mar 23, 2007
Last updated: Mar 14, 2012
Status: Active

Other names

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The Walker Memorial Training Center · former legal business name

Authorized official

Sharon E Williams-Taylor, M.S. STLDR
Senior Director
(610) 747-0290

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1578680591

Bancroft Neurohealth's National Provider Identifier is 1578680591, issued on Mar 23, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Mar 14, 2012.