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Organization

ANDOVER KS OPCO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZISHA MARGULIES (CEO)
(718) 942-3483
Entity
Organization

Contact information

Practice address
224 E CENTRAL AVE, ANDOVER, KS 67002-8580
(718) 942-3483
Mailing address
2420 KNAPP ST, BROOKLYN, NY 11235-1006
(718) 942-3483

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
04/18/2023
Last updated
05/12/2023
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