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Organization
MCCLATCHY AVONDALE CORPORATION
Active
Organization
MCCLATCHY AVONDALE CORPORATION
Active
Other names
Bryn Mawr Terrace Convalscent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCCLATCHY (ADMINISTRATOR)
(610) 525-8300
Entity
Organization
Contact information
Practice address
773 E HAVERFORD RD, BRYN MAWR, PA 19010-3837
(610) 525-8300
(610) 519-0796
Mailing address
773 E HAVERFORD RD, BRYN MAWR, PA 19010-3837
(610) 525-8300
(610) 519-0796
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
123050
PA
314000000X
Skilled Nursing Facility
Primary
023402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005902000
IBC
PA
01
—
0116091
AETNA USHC
PA
01
—
395095
MEDICARE
PA
Enumeration date
09/20/2005
Last updated
01/18/2008
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