Shady Knoll Acquisition Operator LLC
NPI #1225875362 in Seymour, Connecticut
Provider Information
- NPI Number
- 1225875362
- Entity Type
- Organization
- Organization Name
- Shady Knoll Acquisition Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 15, 2024
- Last Updated
- Jul 15, 2024
Practice Location
- Address
- 41 SKOKORAT ST
- City
- Seymour
- State
- Connecticut
- ZIP Code
- 06483-3826
- Phone
- (203) 881-2555
Authorized Official
- Name
- MR. MARC EPHRAM OSTREICHER
- Title
- MANAGING MEMBER
- Phone
- (516) 705-4806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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