| Penn Foundation Inc | |
|
Sunnybrook Village 500 Creekside Drive Suite 507 PA 19464 | |
| (610) 819-6000 | |
| (610) 819-6004 |
| Full Name | Penn Foundation Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Sunnybrook Village, Suite 507, Pennsylvania |
| Authorized Official Name and Position | Wayne Mugrauer (PRESIDENT/CEO) |
| Authorized Official Contact | 2152576551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Foundation Inc 807 Lawn Avenue Po Box 32 Sellersville PA 18960 Ph: (215) 257-6551 | Penn Foundation Inc Sunnybrook Village 500 Creekside Drive Suite 507 PA 19464 Ph: (610) 819-6000 |
| NPI Number | 1265500185 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265500185 | NPI | - | NPPES |
| 129323 | Other | PA | HEALTH CHOICES |
| PE113171 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |