Organization
GS OPERATOR LP
Active
Other names
Glendale Uptown Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
7800 BUSTLETON AVE, PHILADELPHIA, PA 19152-3812
(215) 722-2300
(215) 728-7213
Mailing address
7400 NEW LA GRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-0650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
210102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017760690001
—
PA
Enumeration date
02/05/2007
Last updated
12/30/2014
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