# 4401 HAVERFORD AVENUE OPCO LLC

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

## Provider details

- **NPI number:** 1790565554
- **Authorized official:** BENJAMIN KURLAND (CEO)
- **Authorized official phone:** (732) 592-2205

## Contact information

- **Practice address:** 4401 HAVERFORD AVE, PHILADELPHIA, PA 19104-1332
- **Practice address phone:** (732) 592-2205
- **Mailing address:** 1105 E COUNTY LINE RD STE 201, LAKEWOOD, NJ 08701-2178
- **Mailing address phone:** (732) 592-2205

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2023
- **Last updated:** 12/30/2025