920 South Main Street Operations LLC
NPI #1841770740 in New Lexington, Ohio
Provider Information
- NPI Number
- 1841770740
- Entity Type
- Organization
- Organization Name
- 920 South Main Street Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMIT CARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 20, 2018
- Last Updated
- Aug 20, 2018
Practice Location
- Address
- 920 S MAIN ST
- City
- New Lexington
- State
- Ohio
- ZIP Code
- 43764-1552
- Phone
- (505) 468-4742
Authorized Official
- Name
- MICHAEL T BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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