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Organization

WATERFORD OPCO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACOB BENGIO (CFO)
(954) 300-3878
Entity
Organization

Contact information

Practice address
8333 W OKEECHOBEE RD, HIALEAH, FL 33016-2109
(954) 300-3787
Mailing address
2901 STIRLING RD STE 200, FORT LAUDERDALE, FL 33312-6529
(954) 300-3878

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
08/08/2022
Last updated
04/29/2026
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