# HATFIELD MENNONITE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dock Terrace
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225023443
- **Authorized official:** EDWARD D BRUBAKER (PRESIDENT CEO)
- **Authorized official phone:** (215) 368-4438

## Contact information

- **Practice address:** 275 DOCK DRIVE, LANSDALE, PA 19446
- **Practice address phone:** (215) 368-4438
- **Practice address fax:** (215) 362-2682
- **Mailing address:** 275 DOCK DRIVE, LANSDALE, PA 19446
- **Mailing address phone:** (215) 368-4438
- **Mailing address fax:** (215) 362-2682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 044402 | PA | Yes |

## Other

- **Enumeration date:** 09/14/2005
- **Last updated:** 03/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0008879280001 | — | PA |