NPI 1720260557
175 Blueberry Lane Operations LLC
Practice location
- Address
- 175 Blueberry Ln, Laconia, NH 03246-2918
- Phone
- (603) 524-3340
- Fax
- (603) 524-7049
- 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
- 1720260557
- Entity type
- Organization
- NPI issued
- 4 Dec 2007
- Record last updated
- 10 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.