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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

115 S PROVIDENCE ROAD OPERATIONS LLC

Active Organization

115 S PROVIDENCE ROAD OPERATIONS LLC is a Skilled Nursing Facility organization located in WALLINGFORD, Pennsylvania. NPI 1417667130 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · WALLINGFORD, PA

Registration Details

NPI Number
1417667130
Provider Type
Organization
NPI Issued
Dec 5, 2022 (3.6615747834952 yrs)
Last Updated
Jun 23, 2025

Practice Information

Address
115 S PROVIDENCE RD
WALLINGFORD, PA, 190866333
Browse PA providers · Browse ZIP 19086
Phone
6104446350
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Organizations in WALLINGFORD, PA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.