Provider Demographics
NPI:1801520747
Name:GOLFVIEW RESPITE CARE LLC
Entity type:Organization
Organization Name:GOLFVIEW RESPITE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:RUDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-579-3199
Mailing Address - Street 1:325 S HANOVER ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3911
Mailing Address - Country:US
Mailing Address - Phone:717-241-5900
Mailing Address - Fax:
Practice Address - Street 1:325 S HANOVER ST STE 2A
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3911
Practice Address - Country:US
Practice Address - Phone:717-241-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care