OrganizationActive
1361 Route 72 West Operations LLC
NPI 1366626665 · Skilled Nursing Facility · Manahawkin, NJ
Provider details
- NPI number
- 1366626665
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Berg, Secretary(610) 444-6350
- License
- 080413 (NJ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1361 Route 72 W
Manahawkin, NJ 08050-2417
Phone: (609) 978-0600
Fax: (609) 978-1635
Approximate (ZIP-level) locationGet directions
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Other names (DBA / former)
- Doing business as
- Southern Ocean Center
Registry dates
- Enumerated
- 2007-12-21
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.