OrganizationActive
302 Cedar Ridge Road Operations LLC
NPI 1689858987 · Skilled Nursing Facility · Sissonville, WV
Provider details
- NPI number
- 1689858987
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Berg, Secretary(610) 444-6350
- License
- 90 (WV)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
302 Cedar Ridge Rd
Sissonville, WV 25320-9502
Phone: (304) 984-0046
Fax: (304) 984-3875
Approximate (ZIP-level) locationGet directions
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Other names (DBA / former)
- Doing business as
- Cedar Ridge Center
Registry dates
- Enumerated
- 2007-12-21
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.