Organization
11 DAIRY LANE OPERATIONS LLC
Active
Other names
Woodmont Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (CORPORATE SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
(540) 371-4501
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2735
VA
Other
Enumeration date
11/27/2007
Last updated
09/04/2025
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