Organization
ROUTE 92 OPERATIONS LLC
Active
Other names
White Sulphur Springs Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
ROUTE 92, WHITE SULPHUR SPRINGS, WV 24986
(304) 536-4661
(304) 536-1328
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
123
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002882000
—
WV
Enumeration date
12/24/2007
Last updated
11/22/2024
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