National Provider Identifier Database

ELWYN OF PENNSYLVANIA AND DELAWARE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


NPI Profile & details for ELWYN OF PENNSYLVANIA AND DELAWARE

NPI Number 1942403092
Legal business name
LBN
ELWYN OF PENNSYLVANIA AND DELAWARE
Authorized official DONNA BUSCH - (DIR. PAYER CONTRACT & CREDENTIALING)
Entity Organization
Organization subpart No
Enumeration date 06/07/2007
Last updated 02/14/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1000021240229

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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