# PLEASANT RIDGE MANOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144217332
- **Authorized official:** MR. ROBERT V SMITH NHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (814) 474-5521

## Contact information

- **Practice address:** 8300 RIDGE RD, GIRARD, PA 16417-8701
- **Practice address phone:** (814) 474-5521
- **Practice address fax:** (814) 474-9253
- **Mailing address:** 8300 RIDGE RD, GIRARD, PA 16417-8701
- **Mailing address phone:** (814) 474-5521
- **Mailing address fax:** (814) 474-9253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050902 | PA | — |
| 314000000X | Skilled Nursing Facility | 311002 | PA | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0536 | BLUE CROSS | PA |
| 05 | — | 1007744350006 | — | PA |