# THE BRYN MAWR TERRACE

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

## Provider details

- **NPI number:** 1376664839
- **Authorized official:** MS. KATHY T MARTIN (MEDICARE BILLING)
- **Authorized official phone:** (610) 525-8300

## Contact information

- **Practice address:** 773 E HAVERFORD RD, BRYN MAWR, PA 19010-3837
- **Practice address phone:** (610) 525-8300
- **Practice address fax:** (610) 519-0796
- **Mailing address:** 773 E HAVERFORD RD, BRYN MAWR, PA 19010-3837
- **Mailing address phone:** (610) 525-8300
- **Mailing address fax:** (610) 519-0796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 023402 | PA | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0002432000 | INDEPENDENCE BLUE CROSS | PA |
| 01 | — | 0005902000 | BLUE CROSS | PA |
| 01 | — | 0116091 | US HEALTHCARE | PA |