Organization
HATFIELD MENNONITE HOME
Active
Other names
Dock Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD D BRUBAKER (PRESIDENT CEO)
(215) 368-4438
Entity
Organization
Contact information
Practice address
275 DOCK DRIVE, LANSDALE, PA 19446
(215) 368-4438
(215) 362-2682
Mailing address
275 DOCK DRIVE, LANSDALE, PA 19446
(215) 368-4438
(215) 362-2682
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
044402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008879280001
—
PA
Enumeration date
09/14/2005
Last updated
03/12/2009
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