Organization
THE BRYN MAWR TERRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY T MARTIN (MEDICARE BILLING)
(610) 525-8300
Entity
Organization
Contact information
Practice address
773 E HAVERFORD RD, BRYN MAWR, PA 19010-3837
(610) 525-8300
(610) 519-0796
Mailing address
773 E HAVERFORD RD, BRYN MAWR, PA 19010-3837
(610) 525-8300
(610) 519-0796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
023402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002432000
INDEPENDENCE BLUE CROSS
PA
01
—
0005902000
BLUE CROSS
PA
01
—
0116091
US HEALTHCARE
PA
Enumeration date
04/03/2007
Last updated
06/27/2008
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