OrganizationActive
1080 Silver Lake Boulevard Operations LLC
NPI 1336321082 · Skilled Nursing Facility · Dover, DE
Provider details
- NPI number
- 1336321082
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Secretary
- License
- 1116 (DE)
Practice location
1080 Silver Lake Blvd
Dover, DE 19904-2410
Phone: (302) 734-5990
Fax: (302) 734-5985
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.