1113 North Easton Road Operations LLC
NPI #1477735785 in Willow Grove, Pennsylvania
Provider Information
- NPI Number
- 1477735785
- Entity Type
- Organization
- Organization Name
- 1113 North Easton Road Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 28, 2007
- Last Updated
- Jun 26, 2025
Practice Location
- Address
- 1113 EASTON RD
- City
- Willow Grove
- State
- Pennsylvania
- ZIP Code
- 19090-1901
- Phone
- (215) 659-3060
Authorized Official
- Name
- MICHAEL T BERG
- Title
- SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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