# 419 HARDING STREET OPERATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clayton Nursing and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730668880
- **Authorized official:** MICHAEL BERG (SECRETARY)
- **Authorized official phone:** (505) 468-4742

## Contact information

- **Practice address:** 419 HARDING ST, CLAYTON, NM 88415-3323
- **Practice address phone:** (575) 374-2353
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-2254

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2018
- **Last updated:** 06/23/2025