825 Summit Street Operations LLC
NPI #1265616445 in Spencer, West Virginia
Provider Information
- NPI Number
- 1265616445
- Entity Type
- Organization
- Organization Name
- 825 Summit Street Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 24, 2007
- Last Updated
- May 21, 2025
Practice Location
- Address
- 825 SUMMIT ST
- City
- Spencer
- State
- West Virginia
- ZIP Code
- 25276-1035
- Phone
- (304) 927-1007
Authorized Official
- Name
- MICHAEL T BERG
- Title
- SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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