Organization
1700 PINE STREET OPERATIONS LLC
Active
Other names
Norriton Square Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
1700 PINE ST, NORRISTOWN, PA 19401-3040
(610) 239-7100
(610) 277-6239
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
068202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025717090001
—
PA
Enumeration date
11/28/2007
Last updated
04/11/2016
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