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NPI Code Detail

MEDICARE: ROLLING HILLS OPERATING LLC

MEDICARE: ROLLING HILLS OPERATING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1790366656
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROLLING HILLS OPERATING LLC
Provider Business Mailing Address
First Line : 8301 ROOSEVELT BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 CURRY RD
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-3415
Country : US
Telephone Number : 724-627-3153
Fax Number :
Authorized Official
Title or Position : CEO
Name : LISA SOFIA
Credential :
Telephone Number : 724-627-3153
Provider Enumeration Date : 04/21/2021
Last Update Date : 04/21/2021

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