Organization
PIGEON FORGE TN OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERSKOWITZ (CEO)
(212) 444-1991
Entity
Organization
Contact information
Practice address
415 COLE DR, PIGEON FORGE, TN 37863-3775
(646) 649-1131
Mailing address
415 COLE DR, PIGEON FORGE, TN 37863-3775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
02/08/2023
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