Organization
2050 TREVORTON ROAD OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLIMI AVIV (DIRECTOR OF AR)
(973) 285-2893
Entity
Organization
Contact information
Practice address
2050 TREVORTON RD, COAL TOWNSHIP, PA 17866-9405
(570) 644-4400
Mailing address
1105 E COUNTY LINE RD STE 201, LAKEWOOD, NJ 08701-2122
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
08/07/2025
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