MEDICARE: COMHAR INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558569558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMHAR INC

Provider Business Mailing Address
First Line	:	100 W LEHIGH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-4039
Country	:	US
Telephone Number	:	215-203-3000
Fax Number	:	215-203-3078

Provider Business Practice Location Address
First Line	:	129 W ALLEGHENY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-3916
Country	:	US
Telephone Number	:	215-427-6606
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MATHEW ELAVUMKAL
Credential	:
Telephone Number	:	215-203-3000

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	07/11/2007

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Directions to “COMHAR INC ” Practice Location

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