Organization
3485 DAVISVILLE ROAD OPERATIONS LLC
Active
Other names
PowerBack Rehabilitation 3485 Davisville Road
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
3485 DAVISVILLE RD, HATBORO, PA 19040-4220
(215) 830-0400
(215) 830-0855
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2009
(610) 347-4098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
069002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025720180001
—
PA
Enumeration date
11/28/2007
Last updated
10/06/2025
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