Benton Harbor Opco II LLC
NPI #1144743907 in Benton Harbor, Michigan
Provider Information
- NPI Number
- 1144743907
- Entity Type
- Organization
- Organization Name
- Benton Harbor Opco II LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 24, 2017
- Last Updated
- May 8, 2018
Practice Location
- Address
- 1385 E EMPIRE AVE
- City
- Benton Harbor
- State
- Michigan
- ZIP Code
- 49022-2037
- Phone
- (269) 925-0033
Authorized Official
- Name
- LEONID BERKOVICH
- Title
- AUTHORIZED REP
- Phone
- (773) 704-6341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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