1104 Welsh Road Operations LLC
Skilled Nursing Facility in Philadelphia, PA. Organization (NPI-2).
NPI number1346422748
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1346422748
- Entity type
- Organization (NPI-2)
- Legal business name
- 1104 Welsh Road Operations LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2007
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 031602 | PA | Yes |
Other names
- Chapel Manor (Doing Business As)
Practice location
1104 Welsh RdPhiladelphia, PA 19115-3730
Phone 215-676-9191 · Fax 215-676-1266
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4436 · Fax 610-925-4351
Authorized official
Michael T Berg
Secretary
6104446350
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