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NPI Code Detail

MEDICARE: MERAKEY CHILDRENS SERVICES

MEDICARE: MERAKEY CHILDRENS SERVICES
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
1251S00000XCommunity/Behavioral Health AgencyPS 4391-LPA

General Provider Information

NPI Number : 1861657629
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERAKEY CHILDRENS SERVICES
Provider Business Mailing Address
First Line : 265 E LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-1013
Country : US
Telephone Number : 215-427-1500
Fax Number : 215-427-9289
Provider Business Practice Location Address
First Line : 265 E LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-1013
Country : US
Telephone Number : 215-427-1500
Fax Number : 215-427-9289
Authorized Official
Title or Position : CORP SR. DIRECTOR OF BUSINESS OPS
Name : MR. NORMAN E TILSON JR.
Credential :
Telephone Number : 215-836-3131
Provider Enumeration Date : 07/22/2008
Last Update Date : 10/01/2021

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Directions to “MERAKEY CHILDRENS SERVICES ” Practice Location

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