# 1102 RIVER ROAD OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avir at Boerne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538965330
- **Authorized official:** NATHAN FREUND (CEO)
- **Authorized official phone:** (732) 719-5098

## Contact information

- **Practice address:** 1102 RIVER RD, BOERNE, TX 78006-2436
- **Practice address phone:** (830) 249-2799
- **Practice address fax:** (830) 541-7265
- **Mailing address:** 1102 RIVER RD, BOERNE, TX 78006-2436
- **Mailing address phone:** (830) 249-2799
- **Mailing address fax:** (830) 541-7265

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 02/27/2025