Organization
COUNTRY MEADOWS OF SOUTH HILLS ASSOCIATES
Active
Other names
south hills nursing and rehabilitiation center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT J. MIZAK CPA (VP- FINANCE, ACCOUNTING, INFO SRVS)
(717) 533-0723
Entity
Organization
Contact information
Practice address
3590 WASHINGTON PIKE, BRIDGEVILLE, PA 15017-1047
(412) 257-2474
(412) 257-0358
Mailing address
830 CHERRY DR, HERSHEY, PA 17033-2007
(717) 533-0723
(717) 533-1014
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
125402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009828380001
—
PA
Enumeration date
07/21/2005
Last updated
10/04/2011
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