1070 Stouffer Avenue Opco LLC
NPI #1578376877 in Chambersburg, Pennsylvania
Provider Information
- NPI Number
- 1578376877
- Entity Type
- Organization
- Organization Name
- 1070 Stouffer Avenue Opco LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OPA OPCO PARENT LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 30, 2025
- Last Updated
- Jan 30, 2025
Practice Location
- Address
- 1070 STOUFFER AVE
- City
- Chambersburg
- State
- Pennsylvania
- ZIP Code
- 17201-2938
- Phone
- (717) 263-0436
Authorized Official
- Name
- YISSOCHOR KOMIN
- Title
- MANAGER OF SOLE MEMBER, OPA OPCO PA
- Phone
- (908) 510-8029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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