OrganizationActive
175 Blueberry Lane Operations LLC
NPI 1720260557 · Skilled Nursing Facility · Laconia, NH
Provider details
- NPI number
- 1720260557
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Secretary
- License
- 02297 (NH)
Practice location
175 Blueberry Ln
Laconia, NH 03246-2918
Phone: (603) 524-3340
Fax: (603) 524-7049
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.