Organization
GOLDEN VALLEY OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ISRAEL (MANAGER)
(847) 440-2660
Entity
Organization
Contact information
Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 450-6900
Mailing address
3701 W LUNT AVE, LINCOLNWOOD, IL 60712-2615
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/06/2021
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