# PHOENIX AZ OPCO LLC

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

## Provider details

- **NPI number:** 1689316135
- **Authorized official:** ISAAC RAMI (MANAGER)
- **Authorized official phone:** (718) 887-5361

## Contact information

- **Practice address:** 8825 S 7TH ST, PHOENIX, AZ 85042-7626
- **Practice address phone:** (602) 243-6121
- **Mailing address:** 300 BOULEVARD OF THE AMERICAS, SUITE 101, LAKEWOOD, NJ 08701-4636
- **Mailing address phone:** (201) 928-7800

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2022
- **Last updated:** 08/17/2026
