Organization
24 OLD ETNA ROAD OPERATIONS LLC
Active
Other names
Lebanon Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 448-2234
(603) 448-2087
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
03702
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30108778
—
NH
Enumeration date
12/04/2007
Last updated
07/18/2025
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