Organization
125 HOLLY ROAD OPERATIONS LLC
Active
Other names
Laurel Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
125 HOLLY RD, HAMBURG, PA 19526-8729
(610) 562-2284
(610) 562-0776
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
222020
PA
314000000X
Skilled Nursing Facility
Primary
123902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025701670001
—
PA
Enumeration date
11/28/2007
Last updated
06/26/2025
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