# SCOTTSDALE AZ OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rehab at Scottsdale Village Square
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699559195
- **Authorized official:** ISAAC RAMI (MANAGER)
- **Authorized official phone:** (201) 928-7800

## Contact information

- **Practice address:** 2620 N 68TH ST, SCOTTSDALE, AZ 85257-1202
- **Practice address phone:** (623) 462-2803
- **Mailing address:** 1815 LAKEWOOD ROAD, TOMS RIVER, NJ 08755

## Taxonomy

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

## Other

- **Enumeration date:** 08/24/2023
- **Last updated:** 08/24/2023
