Organization
BOWERSTON OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TENENBAUM (CEO)
(917) 613-5764
Entity
Organization
Contact information
Practice address
102 BOYCE DR, BOWERSTON, OH 44695-9701
(740) 269-8001
Mailing address
102 BOYCE DR, BOWERSTON, OH 44695-9701
(740) 269-8001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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