South Hills Opco LLC
NPI #1902682560 in Canonsburg, Pennsylvania
Provider Information
- NPI Number
- 1902682560
- Entity Type
- Organization
- Organization Name
- South Hills Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 7, 2023
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 201 VILLAGE DR
- City
- Canonsburg
- State
- Pennsylvania
- ZIP Code
- 15317-2368
- Phone
- (724) 746-1300
Authorized Official
- Name
- GEDALIAH WIELGUS
- Title
- AUTHORIZED MEMBER
- Phone
- (516) 447-5923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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