30 West Avenue Operations Llc

NPI 1093973158 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1093973158
Enumeration Date 05/27/2008
Last Updated 11/16/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JANE JANE
Position CORPORATE MANAGER
Phone (610) 688-3635
Fax (610) 688-4650
Practice Location
30 WEST AVE
WAYNE PA, 19087-3322, US
Phone (610) 688-3635
Fax (610) 688-4650
Business Location
101 E STATE ST
KENNETT SQUARE PA, 19348-3109, US
Phone (610) 925-4436
Fax (610) 925-4351
Toxanomy
Taxonomy Code 314000000X
License State Pennsylvania
License Number 750102
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According to our database, 30 West Avenue Operations Llc NPI is 1093973158, taxonomy code is 314000000X and license number is 750102, license state is located at Pennsylvania. 30 West Avenue Operations Llc physically located at 30 West Ave, Wayne PA, 19087-3322. NPI Number 1033115704 has the healthcare provider type.

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1093973158 NPI number is provided on an as is basis without warranty of any kind. 1093973158 is maintained by the National Plan & Provider Enumeration System. The contents of 30 West Avenue Operations Llc are for informational purposes only.