Organization · NPI-2

1105 Perry Highway Operations LLC

Skilled Nursing Facility · Pittsburgh, PA

NPI number1457061160

StatusActive

Last updated in NPPESJan 6, 2023

Details

NPI: 1457061160
Entity type: Organization (NPI-2)
Legal business name: 1105 Perry Highway Operations LLC
Organization subpart: Yes
Enumeration date: Dec 5, 2022
Certification date: Jan 6, 2023
Last updated: Jan 6, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	–	–	Yes

Other names

North Hills Skilled Nursing And Rehabilitation Center (Doing Business As)

Practice location

1105 Perry Hwy
Pittsburgh, PA 15237-2114

Phone 610-444-6350

Mailing address

101 E State St
Kennett Square, PA 19348-3109

Authorized official

Michael T Berg
Asst Secretary
5054684742

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