# 100 ABBEYVILLE ROAD OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESIS PM PA OPERATIONS LLC
- **Other names:** ABBEYVILLE SKILLED NURSING AND REHABILITATION CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467162172
- **Legal business name:** GENESIS PM PA OPERATIONS LLC
- **Authorized official:** MICHAEL T BERG (ASST SECRETARY)
- **Authorized official phone:** (505) 468-4742

## Contact information

- **Practice address:** 100 ABBEYVILLE RD, LANCASTER, PA 17603-4604
- **Practice address phone:** (610) 444-6350
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 01/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 39-5199 | MCR | — |