# CUMBERLAND KY OPCO LLC

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

## Provider details

- **NPI number:** 1962112854
- **Authorized official:** ELI GRINSPAN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (917) 418-9100

## Contact information

- **Practice address:** 301 S MAIN ST, BURKESVILLE, KY 42717-9625
- **Practice address phone:** (917) 418-9100
- **Mailing address:** 150 OBERLIN AVE N STE 6, LAKEWOOD, NJ 08701-4535

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2022
- **Last updated:** 03/17/2023
