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1B

175 BLUEBERRY LANE OPERATIONS LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED
Location
LACONIA, NH
Licensed since
2007
Rate
Federal identifiers
NPI registry number1720260557
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMICHAEL BERG
TitleSECRETARY
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