NPI 1396981064
1543 Country Club Road Manor Operations LLC
Practice location
- Address
- 1543 Country Club Rd, Fairmont, WV 26554-1306
- Phone
- (304) 363-2273
- 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
Registry record
- NPI
- 1396981064
- Entity type
- Organization
- NPI issued
- 30 Dec 2008
- Record last updated
- 9 Jul 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.