Organization
800 BECKS KNOB ROAD OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MELLON (VP COMPLIANCE)
(856) 282-5590
Entity
Organization
Contact information
Practice address
800 BECKS KNOB RD, LANCASTER, OH 43130-8802
(856) 282-5590
Mailing address
5 EVES DR, MARLTON, NJ 08053-3135
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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