Ava Springs Opco LLC
NPI #1104667120 in Mercer, Pennsylvania
Provider Information
- NPI Number
- 1104667120
- Entity Type
- Organization
- Organization Name
- Ava Springs Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 4, 2024
- Last Updated
- Jun 4, 2024
Practice Location
- Address
- 745 GREENVILLE RD
- City
- Mercer
- State
- Pennsylvania
- ZIP Code
- 16137-5070
- Phone
- (516) 447-5923
Authorized Official
- Name
- GEDALIAH WIELGUS
- Title
- AUTHORIZED SIGNATORY
- Phone
- (516) 447-5923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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