Organization
2940 NE 207 ST OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SIMON (AUTHORIZED OFFICIAL)
(419) 247-2800
Entity
Organization
Contact information
Practice address
2940 NE 207TH ST, AVENTURA, FL 33180-1405
(419) 247-2800
Mailing address
4500 DORR ST, TOLEDO, OH 43615-4040
(419) 247-2800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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