# COUNTRY MEADOWS OF SOUTH HILLS ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** south hills nursing and rehabilitiation center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841290731
- **Authorized official:** MR. VINCENT J. MIZAK CPA (VP- FINANCE, ACCOUNTING, INFO SRVS)
- **Authorized official phone:** (717) 533-0723

## Contact information

- **Practice address:** 3590 WASHINGTON PIKE, BRIDGEVILLE, PA 15017-1047
- **Practice address phone:** (412) 257-2474
- **Practice address fax:** (412) 257-0358
- **Mailing address:** 830 CHERRY DR, HERSHEY, PA 17033-2007
- **Mailing address phone:** (717) 533-0723
- **Mailing address fax:** (717) 533-1014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 125402 | PA | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 10/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009828380001 | — | PA |