Organization
PAUL HERMITAGE OPERATOR LLC
Active
Parent organization
PAUL HERMITAGE OPERATOR LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL HERMITAGE OPERATOR LLC
Authorized official
DAVID CHEPLOWITZ (MANAGER)
(773) 272-2568
Entity
Organization
Contact information
Practice address
501 N 17TH AVE, BEECH GROVE, IN 46107-1169
(317) 786-2261
Mailing address
1135 E VETERANS HWY, JACKSON, NJ 08527-5090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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