Organization
100 ST. CLAIRE DRIVE OPERATIONS LLC
Active
Parent organization
GENESIS DE HOLDINGS LLC
Other names
Brackenville Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS DE HOLDINGS LLC
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
100 SAINT CLAIRE DR, HOCKESSIN, DE 19707-8906
(610) 444-6350
(610) 444-4395
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
(610) 444-4395
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
10/13/2015
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