Organization
AVA SPRINGS OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEDALIAH WIELGUS (AUTHORIZED SIGNATORY)
(516) 447-5923
Entity
Organization
Contact information
Practice address
745 GREENVILLE RD, MERCER, PA 16137-5070
(516) 447-5923
Mailing address
395 PEARSALL AVE STE K, CEDARHURST, NY 11516-1828
(516) 447-5923
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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