NPI 1336321082

1080 Silver Lake Boulevard Operations LLC

Organisation Skilled Nursing Facility Dover, DE

Practice location

Address: 1080 Silver Lake Blvd, Dover, DE 19904-2410
Phone: (302) 734-5990
Fax: (302) 734-5985
Mailing address: 101 E State St, Kennett Square, PA 19348-3109

Authorised official

Name: Michael T Berg
Title: Secretary
Phone: (610) 444-6350

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1116 (DE)

Other Skilled Nursing Facility providers in Delaware →

Registry record

NPI: 1336321082
Entity type: Organization
NPI issued: 4 Dec 2007
Record last updated: 24 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.