Organization
STONERIDGE RETIREMENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN J. REITER CPA (PRESIDENT/CEO)
(717) 866-3200
Entity
Organization
Contact information
Practice address
450 EAST LINCOLN AVE, MYERSTOWN, PA 17067-2239
(717) 866-3200
(717) 866-7778
Mailing address
440 E LINCOLN AVE, MYERSTOWN, PA 17067-2239
(717) 866-3200
(717) 866-7778
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
055702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA1007512800004
—
PA
Enumeration date
07/15/2006
Last updated
11/03/2016
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