OrganizationActive
15810 South 42nd Street Operations LLC
NPI 1184105850 · Skilled Nursing Facility · Phoenix, AZ
Provider details
- NPI number
- 1184105850
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Assistant Secretary
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2018-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.