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Organization
ASBURY ATLANTIC, INC.
Active
Organization
ASBURY ATLANTIC, INC.
Active
Other names
Bethany Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN GRUNDUSKY NHA (EXECUTIVE DIRECTOR)
(717) 591-8027
Entity
Organization
Contact information
Practice address
5225 WILSON LN, MECHANICSBURG, PA 17055-6663
(717) 591-8001
(717) 766-0870
Mailing address
5225 WILSON LN, MECHANICSBURG, PA 17055-6663
(717) 591-8001
(717) 766-0870
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
024402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017505810003
—
PA
Enumeration date
02/13/2006
Last updated
01/05/2017
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