Healthcare Provider Details

I. General information

NPI: 1780802520
Provider Name (Legal Business Name): GENERAL HEALTHCARE RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VALLEY SQ STE 200
BLUE BELL PA
19422-2703
US

IV. Provider business mailing address

1 VALLEY SQ STE 200
BLUE BELL PA
19422-2703
US

V. Phone/Fax

Practice location:
  • Phone: 610-834-1122
  • Fax: 610-834-7525
Mailing address:
  • Phone: 610-834-1122
  • Fax: 610-834-7525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StatePA

VIII. Authorized Official

Name: PETER J MECOUCH
Title or Position: CHIEF CLINICAL AND COMPLIANCE OFF
Credential: RN
Phone: 302-781-4254