Provider Demographics
NPI:1255478566
Name:LYMCH HOMES - DELAWARE COUNTY, INC.
Entity Type:Organization
Organization Name:LYMCH HOMES - DELAWARE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-784-0300
Mailing Address - Street 1:216 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2503
Mailing Address - Country:US
Mailing Address - Phone:215-784-0300
Mailing Address - Fax:215-784-0616
Practice Address - Street 1:216 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2503
Practice Address - Country:US
Practice Address - Phone:215-784-0300
Practice Address - Fax:215-784-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA170690251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000028120003Medicaid