Organization · Type 2 NPI

Bancroft Neurohealth

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

NPI number 1720105570 Active

Practice location

3901 Conshohocken Ave, Greenbriar - #4311
Philadelphia, PA 19131-5430

Call (215) 877-2373 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.

9 other providers at this address

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NPI record

NPI: 1720105570
Entity type: Organization (Type 2)
Issued: Mar 26, 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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About NPI 1720105570

Bancroft Neurohealth's National Provider Identifier is 1720105570, issued on Mar 26, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 14, 2012.