2050 Trevorton Road Opco LLC
NPI #1114641776 in Coal Township, Pennsylvania
Provider Information
- NPI Number
- 1114641776
- Entity Type
- Organization
- Organization Name
- 2050 Trevorton Road Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 28, 2022
- Last Updated
- Aug 7, 2025
Practice Location
- Address
- 2050 TREVORTON RD
- City
- Coal Township
- State
- Pennsylvania
- ZIP Code
- 17866-9405
- Phone
- (570) 644-4400
Authorized Official
- Name
- BLIMI AVIV
- Title
- DIRECTOR OF AR
- Phone
- (973) 285-2893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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