2 Blackberry Lane Operations LLC
NPI #1831574052 in Bennington, Vermont
Provider Information
- NPI Number
- 1831574052
- Entity Type
- Organization
- Organization Name
- 2 Blackberry Lane Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMIT CARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 29, 2015
- Last Updated
- Aug 11, 2016
Practice Location
- Address
- 2 BLACKBERRY LN
- City
- Bennington
- State
- Vermont
- ZIP Code
- 05201-2300
- Phone
- (802) 442-8525
Authorized Official
- Name
- MICHAEL T BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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