Organization
MAIN LINE ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESA SULIMAY (EXECUTIVE DIRECTOR)
(610) 353-6642
Entity
Organization
Contact information
Practice address
119 RADNOR ST, BRYN MAWR, PA 19010-3506
(610) 527-4220
(610) 527-6071
Mailing address
119 RADNOR ST, BRYN MAWR, PA 19010-3506
(610) 527-4220
(610) 527-6071
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
281330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000050820002
—
PA
05
—
1000050820003
—
PA
Enumeration date
12/06/2006
Last updated
08/22/2020
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