Healthcare Provider Details

I. General information

NPI: 1699679530
Provider Name (Legal Business Name): FOULKEWAYS AT GWYNEDD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 MEETINGHOUSE RD
GWYNEDD PA
19436-1000
US

IV. Provider business mailing address

1120 MEETINGHOUSE RD
GWYNEDD PA
19436-1000
US

V. Phone/Fax

Practice location:
  • Phone: 215-643-2200
  • Fax: 215-646-2917
Mailing address:
  • Phone: 215-643-2200
  • Fax: 215-646-2917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: HEATHER HEILAND
Title or Position: CHIEF HEALTH SERVICES OFFICER
Credential:
Phone: 215-283-7050