Healthcare Provider Details

I. General information

NPI: 1720262918
Provider Name (Legal Business Name): 723 SUMMERS STREET OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 SUMMERS ST
PARKERSBURG WV
26101-6022
US

IV. Provider business mailing address

101 E STATE ST
KENNETT SQUARE PA
19348-3109
US

V. Phone/Fax

Practice location:
  • Phone: 304-428-5573
  • Fax: 304-428-7784
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 Number83
License Number StateWV

VIII. Authorized Official

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