# TYH WILLISTON OPCO LLC

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

## Provider details

- **NPI number:** 1588590525
- **Authorized official:** JONATHAN PELMAN (CEO)
- **Authorized official phone:** (917) 923-0954

## Contact information

- **Practice address:** 5721 SPRINGFIELD RD, WILLISTON, SC 29853-1917
- **Practice address phone:** (803) 266-3229
- **Mailing address:** 320 W MERRICK RD, FREEPORT, NY 11520-3248

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2026
- **Last updated:** 06/18/2026