Basic Information
| Provider Information | |||||||||
| NPI: | 1710339528 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GHR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2250 HICKORY RD | ||||||||
| Address2: | SUITE 240 | ||||||||
| City: | PLYMOUTH MEETING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194621047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108341122 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2250 HICKORY RD | ||||||||
| Address2: | SUITE 240 | ||||||||
| City: | PLYMOUTH MEETING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194621047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108341122 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2016 | ||||||||
| LastUpdateDate: | 07/05/2016 | ||||||||
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| AuthorizedOfficialLastName: | BILAL | ||||||||
| AuthorizedOfficialFirstName: | JAMEELAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | CLINICAL NURSE | ||||||||
| AuthorizedOfficialTelephone: | 2159008221 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | RN611181 | PA | Y | Hospitals | General Acute Care Hospital |
No ID Information.