Organization
1008 THOMPSON STREET OPERATIONS LLC
Active
Parent organization
GENESIS PM PA OPERATIONS LLC
Other names
JERSEY SHORE SKILLED NURSING AND REHABILITATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS PM PA OPERATIONS LLC
Authorized official
MICHAEL T BERG (ASST SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
1008 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(610) 444-6350
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-5359
MCR
—
Enumeration date
12/05/2022
Last updated
01/06/2023
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