Organization
WARRENTON OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM GUTNICKI (MANAGER)
(847) 933-9280
Entity
Organization
Contact information
Practice address
614 HASTINGS LN, WARRENTON, VA 20186-2110
(540) 347-4770
Mailing address
276 CEDARBRIDGE AVE, LAKEWOOD, NJ 08701-4265
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
495267
MEDICARE ID
—
Enumeration date
03/24/2016
Last updated
03/24/2016
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