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NPI Code Detail

MEDICARE: HEALTH RESOURCES OF RIDGEWOOD, LLC

MEDICARE: HEALTH RESOURCES OF RIDGEWOOD, 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 Facility060215NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1317111OTHERUS FAMILY HEALTH PLAN
20004229000OTHERAMERIHEALTH
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4315158OTHERHORIZION - SNF
5A382349OTHEROXFORD HEALTH PLANS
6000848OTHERHORIZION - SUB
72176699OTHERAETNA-HMO
84464303OTHERUNISYS #

General Provider Information

NPI Number : 1215970009
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH RESOURCES OF RIDGEWOOD, LLC
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4436
Fax Number : 610-925-4351
Provider Business Practice Location Address
First Line : 330 FRANKLIN TPKE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-1932
Country : US
Telephone Number : 201-447-1900
Fax Number : 201-447-8957
Authorized Official
Title or Position : CORPORATE MANAGER
Name : JANE DROPESKEY
Credential :
Telephone Number : 610-925-4045
Provider Enumeration Date : 06/13/2006
Last Update Date : 08/17/2018

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Directions to “HEALTH RESOURCES OF RIDGEWOOD, LLC ” Practice Location

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