Organization
825 SUMMIT STREET OPERATIONS LLC
Active
Other names
Miletree Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
825 SUMMIT ST, SPENCER, WV 25276-1035
(304) 927-1007
(304) 927-5830
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
132
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002886001
—
WV
Enumeration date
12/24/2007
Last updated
05/21/2025
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