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General NPI Number Information
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NPI Number | 1225017130
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Entity Type | Organization
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Legal Business Name | RIDGE CREST INC
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1730 BUCK ROAD NORTH
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City | FEASTERVILLE
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State | PA
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Zip | 19053
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Country | US
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Telephone | 215-355-3131
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Fax | 215-355-0481
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Provider Business Mailing Address
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Address Line | 106 LAKESIDE DR
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City | SOUTHAMPTON
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State | PA
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Zip | 18966
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Country | US
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Telephone | 215-355-6288
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Fax | 215-355-8127
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STANLEY J SEGAL
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Credential | MHA
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Telephone | 215-355-6288
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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 | 181102
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | A06720
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License Number State | PA
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