50 Pheasant Road Operations LLC
NPI #1518520352 in Peterborough, New Hampshire
Provider Information
- NPI Number
- 1518520352
- Entity Type
- Organization
- Organization Name
- 50 Pheasant Road Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 17, 2019
- Last Updated
- Apr 17, 2019
Practice Location
- Address
- 50 PHEASANT RD
- City
- Peterborough
- State
- New Hampshire
- ZIP Code
- 03458-2110
- Phone
- (610) 925-2254
Authorized Official
- Name
- MICHAEL BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (610) 925-2254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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