OrganizationActive
1113 North Easton Road Operations LLC
NPI 1477735785 · Skilled Nursing Facility · Willow Grove, PA
Provider details
- NPI number
- 1477735785
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Secretary
- License
- 860202 (PA)
Practice location
1113 Easton Rd
Willow Grove, PA 19090-1901
Phone: (215) 659-3060
Fax: (215) 659-2655
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-11-28
- Last updated
- 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.