35 Marc Drive Operations LLC
NPI #1306027826 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1306027826
- Entity Type
- Organization
- Organization Name
- 35 Marc Drive Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 27, 2007
- Last Updated
- Oct 6, 2025
Practice Location
- Address
- 35 MARC DR
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-5708
- Phone
- (203) 265-0981
Authorized Official
- Name
- MICHAEL T BERG
- Title
- SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| Kadeem David Johnson | |
| Soheila Dickerson |
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| Provider Name | |
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| Sv Opco LLC | |
| Masonicare Health Center Part of Masonicare | |
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