1248 Hospital Drive Opco LLC
NPI #1528884301 in St Johnsbury, Vermont
Provider Information
- NPI Number
- 1528884301
- Entity Type
- Organization
- Organization Name
- 1248 Hospital Drive Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 26, 2024
- Last Updated
- Jul 31, 2025
Practice Location
- Address
- 1248 HOSPITAL DR
- City
- St Johnsbury
- State
- Vermont
- ZIP Code
- 05819-9239
- Phone
- (802) 748-8757
Authorized Official
- Name
- BLIMI AVIV
- Title
- MANAGER
- Phone
- (732) 707-9013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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