Organization
590 NORTH POPLAR FORK ROAD OPERATIONS LLC
Active
Other names
Teays Valley Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
590 POPLAR FORK RD, HURRICANE, WV 25526-9434
(304) 757-7826
(304) 757-8861
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
118
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002827000
—
WV
Enumeration date
12/24/2007
Last updated
10/06/2025
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