Organization
SMETHPORT PA OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIEL LEV (OPERATOR)
(845) 521-0490
Entity
Organization
Contact information
Practice address
15 W WILLOW ST, SMETHPORT, PA 16749-1523
(814) 887-5716
Mailing address
15 W WILLOW ST, SMETHPORT, PA 16749-1523
(814) 887-5716
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/22/2024
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