Organization · NPI-2

1 Emerson Drive South Operations LLC

Skilled Nursing Facility · Windsor, CT

NPI number1053592576
StatusActive
Last updated in NPPESFeb 22, 2012

Details

NPI
1053592576
Entity type
Organization (NPI-2)
Legal business name
1 Emerson Drive South Operations LLC
Organization subpart
No
Enumeration date
Nov 27, 2007
Last updated
Feb 22, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility2369CTYes

Other names

  • Kimberly Hall South (Doing Business As)

Practice location

1 Emerson Dr
Windsor, CT 06095-3204

Phone 860-688-6443 · Fax 860-688-1259

Mailing address

101 E State St
Kennett Square, PA 19348-3109

Phone 610-925-4436 · Fax 610-925-4351

Authorized official

Jane Dropeskey
Corporate Manager
6109254231

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