Organization
175 N ROADRUNNER PARKWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
175 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-8090
(575) 386-5800
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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