# PAUL'S RUN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366443970
- **Authorized official:** MR. JOHN M. BARNUM (VP/CFO)
- **Authorized official phone:** (215) 643-6333

## Contact information

- **Practice address:** 9896 BUSTLETON AVE, PHILADELPHIA, PA 19115-5202
- **Practice address phone:** (215) 934-3000
- **Practice address fax:** (215) 934-3018
- **Mailing address:** 250 N BETHLEHEM PIKE, AMBLER, PA 19002-3524
- **Mailing address phone:** (215) 643-6333
- **Mailing address fax:** (215) 643-6791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 176990 | PA | Yes |
| 314000000X | Skilled Nursing Facility | 161902 | PA | — |

## Other

- **Enumeration date:** 08/04/2005
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0012939630002 | — | PA |
| 01 | — | 0908820001 | DMERC SUPPLIER \# | — |