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Organization

GLENMARK ASSOCIATES, INC

Active
Other names
Cedar Ridge Center
Organization subpart
No

Provider details

NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization

Contact information

Practice address
302 CEDAR RIDGE RD, SISSONVILLE, WV 25320-9502
(304) 984-0046
(304) 984-3875
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
90
WV
343900000X
Non-emergency Medical Transport (VAN)
90
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002886000
WV
05
0002886002
WV
01
000324439
MOUNTAIN STATE BC/BS
01
2507246
AETNA-HMO
01
282349
UNITED-MAMSI
Enumeration date
05/25/2006
Last updated
06/21/2018
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