MERAKEY IDD PHILADELPHIA NPI 1467635110

NPI Information

NPI: 1467635110
Provider Name: MERAKEY IDD PHILADELPHIA

Former Legal Business Name: THE ASSOCIATION FOR INDEPENDENT GROWTH, INC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2991 W SCHOOL HOUSE LN APT C12E
PHILADELPHIA, PA
ZIP 19144
Phone: (215) 844-2758
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MERAKEY IDD PHILADELPHIA is a community based residential treatment facility mental illness in Philadelphia, PA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MERAKEY IDD PHILADELPHIA NPI is 1467635110. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Association For Independent Growth, Inc.

The provider's business location address is:

2991 W SCHOOL HOUSE LN APT C12E
PHILADELPHIA, PA
ZIP 19144-350
Phone: (215) 844-2758
Fax: (215) 320-2041

The provider's authorized official is Norman E Tilson .
The authorized official title is Corp Sr. Director Of Business Ops and has the following contact phone number (215) 836-3131.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 4/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		126430	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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