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Organization
PAUL'S RUN
Active
Organization
PAUL'S RUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M. BARNUM (VP/CFO)
(215) 643-6333
Entity
Organization
Contact information
Practice address
9896 BUSTLETON AVE, PHILADELPHIA, PA 19115-5202
(215) 934-3000
(215) 934-3018
Mailing address
250 N BETHLEHEM PIKE, AMBLER, PA 19002-3524
(215) 643-6333
(215) 643-6791
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
176990
PA
314000000X
Skilled Nursing Facility
161902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012939630002
—
PA
01
—
0908820001
DMERC SUPPLIER #
—
Enumeration date
08/04/2005
Last updated
09/11/2025
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