Organization
ELM TERRACE GARDENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CLARK MCLAIN C.P.A. (VICE PRESIDENT AND CFO)
(215) 361-5664
Entity
Organization
Contact information
Practice address
660 N BROAD ST, LANSDALE, PA 19446-2361
(215) 361-5664
(215) 361-5670
Mailing address
660 N BROAD ST, LANSDALE, PA 19446-2361
(215) 361-5664
(215) 361-5670
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
A45280
PA
314000000X
Skilled Nursing Facility
310802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005832000
BLUE CROSS/KEYSTONE PROV#
PA
05
—
10081441140003
—
PA
01
—
54338
AETNA PROVIDER #
PA
Enumeration date
10/02/2006
Last updated
09/11/2025
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