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Organization

CHURCH LANE SENIOR SERVICES, LLC

Active
Other names
Brighten at Broomall
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL J. CALLAN (CHIEF FINANCIAL OFFICER)
(610) 527-4277
Entity
Organization

Contact information

Practice address
43 CHURCH LN, BROOMALL, PA 19008-2503
(610) 356-3003
(610) 353-5859
Mailing address
956 E RAILROAD AVE, BRYN MAWR, PA 19010-3831
(610) 525-8412
(610) 525-1371

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
023102
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009799700001
PA
Enumeration date
05/31/2005
Last updated
08/22/2020
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