Organization
ST EDMOND'S HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE C CLOFINE (ADMINISTRATOR)
(610) 525-8800
Entity
Organization
Contact information
Practice address
320 S ROBERTS RD, BRYN MAWR, PA 19010-1238
(610) 525-8800
(610) 525-2693
Mailing address
320 S ROBERTS RD, BRYN MAWR, PA 19010-1238
(610) 525-8800
(610) 525-2693
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023670005
—
PA
Enumeration date
03/14/2007
Last updated
11/13/2023
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