| Penn Foundation Inc | |
|
1200 New Rodgers Rd Ste C-14 Bristol PA 19007-2525 | |
| (215) 257-6551 | |
| (833) 506-2774 |
| Full Name | Penn Foundation Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 New Rodgers Rd Ste C-14, Bristol, Pennsylvania |
| Authorized Official Name and Position | Mary Reaser (ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 2674045861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Foundation Inc 807 Lawn Ave Sellersville PA 18960-1549 Ph: (215) 257-6551 | Penn Foundation Inc 1200 New Rodgers Rd Ste C-14 Bristol PA 19007-2525 Ph: (215) 257-6551 |
| NPI Number | 1023724903 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023724903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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