175 Blueberry Lane Operations LLC
NPI #1720260557 in Laconia, New Hampshire
Provider Information
- NPI Number
- 1720260557
- Entity Type
- Organization
- Organization Name
- 175 Blueberry Lane Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Jul 10, 2025
Practice Location
- Address
- 175 BLUEBERRY LN
- City
- Laconia
- State
- New Hampshire
- ZIP Code
- 03246-2918
- Phone
- (603) 524-3340
Authorized Official
- Name
- MICHAEL T BERG
- Title
- SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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