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Organization
302 CEDAR RIDGE ROAD OPERATIONS LLC
Active
Organization
302 CEDAR RIDGE ROAD OPERATIONS LLC
Active
Other names
Cedar Ridge Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
302 CEDAR RIDGE RD, SISSONVILLE, WV 25320-9502
(304) 984-0046
(304) 984-3875
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
90
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002886000
—
WV
Enumeration date
12/21/2007
Last updated
10/06/2025
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