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Organization
FRIENDSHIP RIDGE
Active
Organization
FRIENDSHIP RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J KESSLER (CHIEF FINANCIAL OFFICER)
(724) 770-3190
Entity
Organization
Contact information
Practice address
246 FRIENDSHIP CIR, BEAVER, PA 15009-9713
(724) 775-7100
Mailing address
246 FRIENDSHIP CIR, BEAVER, PA 15009-9713
(724) 775-7100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007564990004
—
PA
01
—
0413358M
UNEMPLOYMENT NUMBER
PA
01
—
0608
PROVIDER # FOR BLUE CROSS
PA
Enumeration date
07/28/2005
Last updated
08/27/2008
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