305 Bonita St Opco LLC
NPI #1164300679 in Jacksonville, Texas
Provider Information
- NPI Number
- 1164300679
- Entity Type
- Organization
- Organization Name
- 305 Bonita St Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 22, 2025
- Last Updated
- Aug 22, 2025
Practice Location
- Address
- 305 BONITA ST
- City
- Jacksonville
- State
- Texas
- ZIP Code
- 75766-5743
- Phone
- (732) 719-5098
Authorized Official
- Name
- NOCHUM FREUND
- Title
- CEO
- Phone
- (732) 719-5098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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