Organization
MARTINS RUN
Active
Other names
Martins Run
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN PAUL WISNIEWSKI (CFO)
(610) 353-7660
Entity
Organization
Contact information
Practice address
11 MARTINS RUN, MEDIA, PA 19063-1057
(610) 353-7760
(610) 353-4928
Mailing address
11 MARTINS RUN, MEDIA, PA 19063-1057
(610) 353-7760
(610) 353-4928
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
390102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007769830001
—
PA
01
—
1013902253
NPI
—
Enumeration date
09/14/2005
Last updated
08/22/2020
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