Organization
AVENTURA AT PROSPECT, LLC
Active
Other names
Aventura at Prospect
Organization subpart
No
Provider details
NPI number
Authorized official
MOISHE KASZIRER (MEMBER)
(718) 837-7700
Entity
Organization
Contact information
Practice address
815 CHESTER PIKE, PROSPECT PARK, PA 19076-2322
(610) 586-6262
Mailing address
1072 MADISON AVE, LAKEWOOD, NJ 08701-2650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
10/20/2021
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