100 St. Claire Drive Operations LLC
NPI #1215357728 in Hockessin, Delaware
Provider Information
- NPI Number
- 1215357728
- Entity Type
- Organization
- Organization Name
- 100 St. Claire Drive Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GENESIS DE HOLDINGS LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 23, 2014
- Last Updated
- Oct 13, 2015
Practice Location
Authorized Official
- Name
- MICHAEL T. BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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