# 24 CREE DRIVE OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haven Place Rehabilitation and Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215764683
- **Authorized official:** BLIMI AVIV (SUPERIVSOR)
- **Authorized official phone:** (973) 285-2893

## Contact information

- **Practice address:** 24 CREE DR, LOCK HAVEN, PA 17745-2639
- **Practice address phone:** (732) 707-9013
- **Mailing address:** 1105 E COUNTY LINE RD STE 201, LAKEWOOD, NJ 08701-2178
- **Mailing address phone:** (732) 707-9013

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024