| Merakey Pennsylvania | |
|
2110 Oak Park Blvd Lake Charles LA 70601-7864 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | Merakey Pennsylvania |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2110 Oak Park Blvd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey Pennsylvania 4391 Sturbridge Dr Harrisburg PA 17110-3673 Ph: (215) 836-3131 | Merakey Pennsylvania 2110 Oak Park Blvd Lake Charles LA 70601-7864 Ph: (215) 836-3131 |
| NPI Number | 1871867887 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871867887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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