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NPI 1164340741

NPI 1164340741 : ROLLING FIELDS PA OPCO LLC : CONNEAUTVILLE, PA

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General NPI Number Information
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    NPI Number           |    1164340741
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROLLING FIELDS PA OPCO LLC 
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Dates
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    Enumeration Date     |    07/09/2026
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    Last Update Date     |    07/09/2026
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Provider Practice Location Address
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    Address Line         |    9108 STATE HIGHWAY 198 
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    City                 |    CONNEAUTVILLE
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    State                |    PA
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    Zip                  |    16406-2646
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    Country              |    US
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    Telephone            |    732-580-1018
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1600 ROUTE 70 STE 245 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-6186
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    Country              |    US
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    Telephone            |    732-580-1018
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |     JOSEPH  GREENZWEIG 
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    Credential           |    
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    Telephone            |    732-580-1018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    
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    License Number State |    
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