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Organization

920 SOUTH MAIN STREET OPERATIONS LLC

Active
Parent organization
SUMMIT CARE LLC
Other names
NEW LEXINGTON CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMIT CARE LLC
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization

Contact information

Practice address
920 S MAIN ST, NEW LEXINGTON, OH 43764-1552
(505) 468-4742
(505) 468-8742
Mailing address
920 S MAIN ST, NEW LEXINGTON, OH 43764-1552
(505) 468-4742
(505) 468-8742

Taxonomy

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

Other

Enumeration date
08/20/2018
Last updated
08/20/2018
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