Organization
ANDOVER SNF OPCO LLC
Active
Other names
Andover Village Rehabilitation and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
YECHEZKEL SEREBROWSKI (COO OF THE OPCO)
(845) 422-3916
Entity
Organization
Contact information
Practice address
486 S MAIN ST, ANDOVER, OH 44003-9602
(440) 293-5416
Mailing address
6950 US HIGHWAY 9 STE 107, HOWELL, NJ 07731-3322
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/19/2026
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