Organization
ANTIOCH TN OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX KENIGSBERG (MANAGER)
(646) 649-1258
Entity
Organization
Contact information
Practice address
500 HICKORY HOLLOW TER, ANTIOCH, TN 37013-2115
(615) 731-7130
Mailing address
100 MERRICK RD STE 418E, ROCKVILLE CENTRE, NY 11570-4888
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
07/03/2025
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