NPI 1992284053
3514 Fowler Avenue Operations LLC
Practice location
- Address
- 3514 N Fowler Ave, Silver City, NM 88061-7210
- Phone
- (575) 388-3127
- Mailing address
- 101 E State St, Kennett Square, PA 19348-3109
Authorised official
- Name
- Michael Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1992284053
- Entity type
- Organization
- NPI issued
- 9 Aug 2018
- Record last updated
- 9 Aug 2018
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.