Basic Information
| Provider Information | |||||||||
| NPI: | 1316141633 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GENERAL HEALTHCARE RESOURCES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 84 ROYAL DR | ||||||||
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| City: | PISCATAWAY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088543471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324248718 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2250 HICKORY RD | ||||||||
| Address2: | SUITE 240 | ||||||||
| City: | PLYMOUTH MEETING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194621047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108341122 | ||||||||
| FaxNumber: | 6108347525 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ROMANO | ||||||||
| AuthorizedOfficialFirstName: | BETH | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING SUPERVISOR | ||||||||
| AuthorizedOfficialTelephone: | 6108341122 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 313M00000X | 26NO10959800 | NJ | Y | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility |
No ID Information.