Organization
PATRIOT OPCO LLC
Active
Other names
Patriot Village
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM SMILOW (MANAGER)
(917) 543-4391
Entity
Organization
Contact information
Practice address
495 W PATRIOT ST, SOMERSET, PA 15501-1503
(814) 445-4549
Mailing address
495 W PATRIOT ST, SOMERSET, PA 15501-1503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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