Organization
89 MORTON STREET OPERATIONS LLC
Active
Other names
Academy Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (VP ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
89 MORTON ST, ANDOVER, MA 01810-2036
(978) 475-0944
(978) 470-8504
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
0247
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088736A
—
MA
Enumeration date
12/04/2007
Last updated
07/19/2023
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