# STONERIDGE RETIREMENT LIVING

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

## Provider details

- **NPI number:** 1508882002
- **Authorized official:** MR. STEVEN J. REITER CPA (PRESIDENT/CEO)
- **Authorized official phone:** (717) 866-3200

## Contact information

- **Practice address:** 450 EAST LINCOLN AVE, MYERSTOWN, PA 17067-2239
- **Practice address phone:** (717) 866-3200
- **Practice address fax:** (717) 866-7778
- **Mailing address:** 440 E LINCOLN AVE, MYERSTOWN, PA 17067-2239
- **Mailing address phone:** (717) 866-3200
- **Mailing address fax:** (717) 866-7778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 055702 | PA | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 11/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MA1007512800004 | — | PA |