Organization
2125 ELIZABETH AVENUE OPERATIONS LLC
Active
Parent organization
GENESIS PM PA OPERATIONS LLC
Other names
LAURELDALE SKILLED NURSING AND REHABILITATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS PM PA OPERATIONS LLC
Authorized official
MICHAEL T BERG (ASST SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
2125 ELIZABETH AVE, LAURELDALE, PA 19605-2259
(610) 444-6350
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
01/06/2023
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