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Organization summary

• NPI
  1417667130
• Name
  115 S Providence Road Operations LLC
• Account Contact
  Michael Berg
• Address
  115 S PROVIDENCE RD, WALLINGFORD, PA, 19086-6333
• Phone
  610-444-6350
• Specialties
  Skilled Nursing Facility
• NPPES Last Updated
  2025-06-23

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