Organization
2021 WESTGATE DRIVE OPERATIONS LLC
Active
Parent organization
GENESIS PM PA OPERATIONS LLC
Other names
BETHLEHEM SOUTH 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 JD (VP AND ASST SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
2021 WESTGATE DR, BETHLEHEM, PA 18017-7412
(610) 861-0100
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020645830001
—
PA
Enumeration date
12/02/2022
Last updated
01/06/2023
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