# 1145 POQUONNOCK ROAD OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Groton Regency Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154502672
- **Authorized official:** MICHAEL T BERG (SECRETARY)
- **Authorized official phone:** (610) 444-6350

## Contact information

- **Practice address:** 1145 POQUONNOCK RD, GROTON, CT 06340-4620
- **Practice address phone:** (860) 446-9960
- **Practice address fax:** (860) 449-0290
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-4436
- **Mailing address fax:** (610) 925-4351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 1889 | CT | — |
| 314000000X | Skilled Nursing Facility | 2374 | CT | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 06/26/2025