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Organization
MARTINS RUN
Active
Organization
MARTINS RUN
Active
Other names
Martins Run, Wesley Enhanced Living at Main Line
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE CONNER (CORPORATE DIRECTOR OF RCM)
(267) 885-6232
Entity
Organization
Contact information
Practice address
100 HALCYON DR, MEDIA, PA 19063-1041
(610) 353-7760
(610) 353-4928
Mailing address
100 HALCYON DR, MEDIA, PA 19063-1041
(610) 353-7760
(610) 353-4928
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
390102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007769830001
—
PA
01
—
1013902253
NPI
—
Enumeration date
09/14/2005
Last updated
05/28/2026
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