# 2050 TREVORTON ROAD OPCO LLC

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

## Provider details

- **NPI number:** 1114641776
- **Authorized official:** BLIMI AVIV (DIRECTOR OF AR)
- **Authorized official phone:** (973) 285-2893

## Contact information

- **Practice address:** 2050 TREVORTON RD, COAL TOWNSHIP, PA 17866-9405
- **Practice address phone:** (570) 644-4400
- **Mailing address:** 1105 E COUNTY LINE RD STE 201, LAKEWOOD, NJ 08701-2122

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2022
- **Last updated:** 08/07/2025