Organization
OAK HILL OPERATING CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORDY BERMAN (MEMBER)
(917) 242-0423
Entity
Organization
Contact information
Practice address
602 HUDSON ST, ITHACA, NY 14850-5752
(607) 272-8282
Mailing address
602 HUDSON ST, ITHACA, NY 14850-5752
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
01/04/2019
Last updated
01/04/2019
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