Provider Demographics
NPI:1699227801
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF DELAWARE COUNTY
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF DELAWARE COUNTY
Other - Org Name:COMMUNITY YMCA OF EASTERN DELAWARE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RANCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-638-1270
Mailing Address - Street 1:2104 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1008
Mailing Address - Country:US
Mailing Address - Phone:610-638-1270
Mailing Address - Fax:
Practice Address - Street 1:2104 GARRETT RD
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1008
Practice Address - Country:US
Practice Address - Phone:610-638-1270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty