OrganizationActive
825 Summit Street Operations LLC
NPI 1265616445 · Skilled Nursing Facility · Spencer, WV
Provider details
- NPI number
- 1265616445
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Secretary
- License
- 132 (WV)
Practice location
825 Summit St
Spencer, WV 25276-1035
Phone: (304) 927-1007
Fax: (304) 927-5830
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.