Healthcare Provider Details

I. General information

NPI: 1659433167
Provider Name (Legal Business Name): BELFAST OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 11/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 FOOTBRIDGE RD
BELFAST ME
04915-7206
US

IV. Provider business mailing address

101 E STATE ST
KENNETT SQUARE PA
19348-3109
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-5307
  • Fax: 207-338-2118
Mailing address:
  • Phone: 610-925-4436
  • Fax: 610-925-4351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1895
License Number StateME

VIII. Authorized Official

Name: JANE DROPESKEY
Title or Position: CORPORATE MEDICAL DIRECTOR
Credential:
Phone: 610-925-4231