105 Chester Road Opco LLC
NPI #1093531873 in Springfield, Vermont
Provider Information
- NPI Number
- 1093531873
- Entity Type
- Organization
- Organization Name
- 105 Chester Road Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 26, 2024
- Last Updated
- Nov 26, 2024
Practice Location
- Address
- 105 CHESTER RD
- City
- Springfield
- State
- Vermont
- ZIP Code
- 05156-2106
- Phone
- (732) 592-2205
Authorized Official
- Name
- BLIMI AVIV
- Title
- MANAGER
- Phone
- (732) 580-3183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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