1776 Opco LLC

NPI #1710863766 in Wilton Manors, Florida

Provider Information

NPI Number
1710863766
Entity Type
Organization
Organization Name
1776 Opco LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 14, 2025
Last Updated
Aug 14, 2025

Practice Location

Address
1776 NE 26TH ST
State
Florida
ZIP Code
33305-1429
Phone
(847) 917-8337

Authorized Official

Name
ROBERT C VAN FOSSAN
Title
PRESIDENT
Phone
(847) 917-8337

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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