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MAIN LINE ADULT DAY CENTER NPI 1215096102


NPI Information

NPI: 1215096102
Provider Name: MAIN LINE ADULT DAY CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
119 RADNOR ST
BRYN MAWR, PA
ZIP 19010
Phone: (610) 527-4220
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MAIN LINE ADULT DAY CENTER is an adult day care clinic center in Bryn Mawr, PA. MAIN LINE ADULT DAY CENTER NPI is 1215096102. The provider is registered as an organization entity type.

The provider's business location address is:

119 RADNOR ST
BRYN MAWR, PA
ZIP 19010-506
Phone: (610) 527-4220
Fax: (610) 527-6071

The provider's authorized official is Lesa Sulimay .
The authorized official title is Executive Director and has the following contact phone number (610) 353-6642.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day Care281330PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000050820002MEDICAIDPENNSYLVANIA
21000050820003MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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