| Organization Name: | COUNTY OF MONTGOMERY HOUSE STAFF |
| NPI Number: | 1467619452 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELANIE DEBLASE (ADMINISTRATOR) |
| Mailing Address: | 1600 Black Rock Rd Royersford |
| State: | PA US |
| Postal Code: | 194683147 |
| Phone Number: | 6107922224 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2008 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |