Healthcare Provider Details

I. General information

NPI: 1730742206
Provider Name (Legal Business Name): GS REHAB & NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2019
Last Update Date: 04/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 EASTON RD
WILLOW GROVE PA
19090-1901
US

IV. Provider business mailing address

1113 EASTON RD
WILLOW GROVE PA
19090-1901
US

V. Phone/Fax

Practice location:
  • Phone: 215-830-5400
  • Fax:
Mailing address:
  • Phone: 215-830-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. CHAIM STEG
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 732-267-9679