Organization
AVA OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEDALIAH WIELGUS (AUTHORIZED MEMBER)
(516) 447-5923
Entity
Organization
Contact information
Practice address
3410 W PITTSBURG RD, NEW CASTLE, PA 16101-5970
(516) 447-5923
Mailing address
3410 W PITTSBURG RD, NEW CASTLE, PA 16101-5970
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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