Organization
1104 WELSH ROAD OPERATIONS LLC
Active
Other names
Chapel Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
1104 WELSH RD, PHILADELPHIA, PA 19115-3730
(215) 676-9191
(215) 676-1266
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
031602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025697740001
—
PA
Enumeration date
11/28/2007
Last updated
06/26/2025
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