| Violet Valley Long Term Care PC | |
|
2901 Jolly Rd Plymouth Meeting PA 19462-2324 | |
| (610) 272-8221 | |
| (610) 272-5655 |
| Full Name | Violet Valley Long Term Care PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2901 Jolly Rd, Plymouth Meeting, Pennsylvania |
| Authorized Official Name and Position | Manoj Wadhwani (OWNER) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Violet Valley Long Term Care PC 2901 Jolly Rd Plymouth Meeting PA 19462-2324 Ph: (610) 272-8221 | Violet Valley Long Term Care PC 2901 Jolly Rd Plymouth Meeting PA 19462-2324 Ph: (610) 272-8221 |
| NPI Number | 1649164617 |
|---|---|
| Provider Enumeration Date | 06/05/2025 |
| Last Update Date | 10/15/2025 |
| Certification Date | 10/15/2025 |
| Medicare PECOS PAC ID | 9638683915 |
|---|---|
| Medicare Enrollment ID | O20250709001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649164617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (NU) | Primary |
| Provider Name | David Penry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306849922 PECOS PAC ID: 0648223255 Enrollment ID: I20050224000013 |
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