440 North River Street Opns LLC
Skilled Nursing Facility in Wilkes Barre, PA. Organization (NPI-2).
NPI number1760664080
StatusActive
Last updated in NPPESOct 6, 2025
Details
- NPI
- 1760664080
- Entity type
- Organization (NPI-2)
- Legal business name
- 440 North River Street Opns LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2007
- Certification date
- Oct 6, 2025
- Last updated
- Oct 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 185302 | PA | Yes |
Other names
- Riverstreet Manor (Doing Business As)
Practice location
440 N River StWilkes Barre, PA 18702-2631
Phone 570-825-5611 · Fax 570-824-6488
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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