Provider Demographics
NPI:1659373405
Name:GF/PENNSYLVANIA PROPERTIES INC
Entity Type:Organization
Organization Name:GF/PENNSYLVANIA PROPERTIES INC
Other - Org Name:ROLLING HILLS MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSING HOME ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:DRUCKENMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:570-922-3351
Mailing Address - Street 1:17350 OLD TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:MILLMONT
Mailing Address - State:PA
Mailing Address - Zip Code:17845-9334
Mailing Address - Country:US
Mailing Address - Phone:570-922-3351
Mailing Address - Fax:570-922-3391
Practice Address - Street 1:17350 OLD TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:MILLMONT
Practice Address - State:PA
Practice Address - Zip Code:17845-9334
Practice Address - Country:US
Practice Address - Phone:570-922-3351
Practice Address - Fax:570-922-3391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA320202314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007756570004Medicaid
PA395614Medicare Oscar/Certification
PA395614Medicare PIN