# 175 N ROADRUNNER PARKWAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144902727
- **Authorized official:** MICHAEL BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (610) 444-6350

## Contact information

- **Practice address:** 175 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-8090
- **Practice address phone:** (575) 386-5800
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 444-6350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2023
- **Last updated:** 08/03/2023