Organization
KOPSACK ASSOCIATES, INC.
Active
Other names
ROCHESTER MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN J KOPSACK (VICE PRESIDENT)
(724) 775-6400
Entity
Organization
Contact information
Practice address
174 VIRGINIA AVE, ROCHESTER, PA 15074-1723
(724) 775-6400
(724) 775-4386
Mailing address
174 VIRGINIA AVE, ROCHESTER, PA 15074-1723
(724) 775-6400
(724) 775-4386
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
180902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494
HIGHMARK BCBS
PA
Enumeration date
12/22/2005
Last updated
08/22/2020
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