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Organization

1700 MARKET STREET OPERATIONS LLC

Active
Parent organization
GENESIS PM PA OPERATIONS LLC
Other names
CAMP HILL SKILLED NURSING AND REHABILITATION CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENESIS PM PA OPERATIONS LLC
Authorized official
MICHAEL T BERG JD (VP AND ASST SECRETARY)
(505) 468-4742
Entity
Organization

Contact information

Practice address
1700 MARKET ST, CAMP HILL, PA 17011-4817
(610) 444-6350
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020629270001
PA
Enumeration date
12/02/2022
Last updated
01/06/2023
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