- Enrollment id
- O20190701001875
- Enrollment state
- PA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1730742206
- Multiple npi flag
- N
- Ccn
- 395077
- Associate id
- 8325372949
- Organization name
- GS REHAB & NURSING CENTER LLC
- Doing business as name
- GARDEN SPRING NURSING AND REHABILITATION CENTER
- Incorporation date
- 2019-03-27
- Incorporation state
- PA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1113 EASTON RD
- City
- WILLOW GROVE
- State
- PA
- Zip code
- 190901901