Organization
11565 HARTS ROAD OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMITAI DAGAN (COO)
(732) 719-5098
Entity
Organization
Contact information
Practice address
11565 HARTS RD, JACKSONVILLE, FL 32218-3777
(732) 719-5034
Mailing address
338 WHITESVILLE RD, JACKSON, NJ 08527-5091
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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