Sj3 Op Divers LLC
NPI #1063134294 in Saint Joseph, Missouri
Provider Information
- NPI Number
- 1063134294
- Entity Type
- Organization
- Organization Name
- Sj3 Op Divers LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 14, 2022
- Last Updated
- Sep 14, 2022
Practice Location
- Address
- 3002 N 18TH ST
- City
- Saint Joseph
- State
- Missouri
- ZIP Code
- 64505-1872
- Phone
- (516) 364-4200
Authorized Official
- Name
- SAMUEL GOLDNER
- Title
- AUTHORIZED PERSON
- Phone
- (516) 727-1634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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