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Organization
419 HARDING STREET OPERATION LLC
Active
Organization
419 HARDING STREET OPERATION LLC
Active
Other names
Clayton Nursing and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
419 HARDING ST, CLAYTON, NM 88415-3323
(575) 374-2353
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2254
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
08/09/2018
Last updated
06/23/2025
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