Organization
MCCLATCHY AVONDALE CORPORATION
Active
Other names
Bryn Mawr Terrace Convalscent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCCLATCHY (ADMINISTRATOR)
(610) 525-8300
Entity
Organization
Contact information
Practice address
773 E HAVERFORD RD, BRYN MAWR, PA 19010-3837
(610) 525-8300
(610) 519-0796
Mailing address
773 E HAVERFORD RD, BRYN MAWR, PA 19010-3837
(610) 525-8300
(610) 519-0796
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
123050
PA
314000000X
Skilled Nursing Facility
Primary
023402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005902000
IBC
PA
01
—
0116091
AETNA USHC
PA
01
—
395095
MEDICARE
PA
Enumeration date
09/20/2005
Last updated
01/18/2008
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