Provider Demographics
NPI:1750946711
Name:GRAYHAWK PARTNERS LLC
Entity type:Organization
Organization Name:GRAYHAWK PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:267-768-4700
Mailing Address - Street 1:640 LEE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5600
Mailing Address - Country:US
Mailing Address - Phone:267-768-4702
Mailing Address - Fax:267-768-4702
Practice Address - Street 1:1553 CHESTER PIKE STE 202
Practice Address - Street 2:
Practice Address - City:CRUM LYNNE
Practice Address - State:PA
Practice Address - Zip Code:19022-1022
Practice Address - Country:US
Practice Address - Phone:484-999-8699
Practice Address - Fax:484-999-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care