Organization
TYH BLACKVILLE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PELMAN (CEO)
(917) 923-0954
Entity
Organization
Contact information
Practice address
1612 JONES BRIDGE RD, BLACKVILLE, SC 29817-3066
(803) 284-4313
Mailing address
320 W MERRICK RD, FREEPORT, NY 11520-3248
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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