50 Mulberry Tree Street Operations LLC
NPI #1750565941 in Charles Town, West Virginia
Provider Information
- NPI Number
- 1750565941
- Entity Type
- Organization
- Organization Name
- 50 Mulberry Tree Street Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 24, 2007
- Last Updated
- Oct 6, 2025
Practice Location
- Address
- 50 MULBERRY TREE STREET
- City
- Charles Town
- State
- West Virginia
- ZIP Code
- 25414-1170
- Phone
- (304) 724-1101
Authorized Official
- Name
- MICHAEL T BERG
- Title
- SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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