Organization
30 WEST AVENUE OPERATIONS LLC
Active
Other names
Wayne Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
30 WEST AVE, WAYNE, PA 19087-3322
(610) 688-3635
(610) 688-4650
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
750102
PA
Other
Enumeration date
05/27/2008
Last updated
10/06/2025
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