Organization
161 BAKERS RIDGE ROAD OPERATIONS LLC
Active
Other names
Madison Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(304) 285-0692
(304) 285-0693
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
131
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003608000
—
WV
Enumeration date
12/21/2007
Last updated
07/10/2025
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