Organization
262 TOLL GATE ROAD OPERATIONS LLC
Active
Other names
Crestview Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
262 TOLLGATE RD, LANGHORNE, PA 19047-1377
(215) 968-4650
(215) 860-5336
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
030802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025700040001
—
PA
Enumeration date
11/28/2007
Last updated
10/06/2025
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