# MARTINS RUN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Martins Run, Wesley Enhanced Living at Main Line
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013902253
- **Authorized official:** RONNIE CONNER (CORPORATE DIRECTOR OF RCM)
- **Authorized official phone:** (267) 885-6232

## Contact information

- **Practice address:** 100 HALCYON DR, MEDIA, PA 19063-1041
- **Practice address phone:** (610) 353-7760
- **Practice address fax:** (610) 353-4928
- **Mailing address:** 100 HALCYON DR, MEDIA, PA 19063-1041
- **Mailing address phone:** (610) 353-7760
- **Mailing address fax:** (610) 353-4928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 390102 | PA | Yes |

## Other

- **Enumeration date:** 09/14/2005
- **Last updated:** 05/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007769830001 | — | PA |
| 01 | — | 1013902253 | NPI | — |