24 Old Etna Road Operations LLC
NPI #1538341367 in Lebanon, New Hampshire
Provider Information
- NPI Number
- 1538341367
- Entity Type
- Organization
- Organization Name
- 24 Old Etna Road Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Jul 18, 2025
Practice Location
- Address
- 24 OLD ETNA RD
- City
- Lebanon
- State
- New Hampshire
- ZIP Code
- 03766-1937
- Phone
- (603) 448-2234
Authorized Official
- Name
- MICHAEL BERG
- Title
- SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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