# DOUGLAS COVE MI OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043187578
- **Authorized official:** ESTI PRUZANSKY (AR)
- **Authorized official phone:** (732) 330-2157

## Contact information

- **Practice address:** 243 WILEY RD, DOUGLAS, MI 49406-5169
- **Practice address phone:** (732) 330-2157
- **Mailing address:** 175 ROUTE 70 STE 208, TOMS RIVER, NJ 08755-0936
- **Mailing address phone:** (732) 330-2157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 12/10/2025