Organization
12-15 SADDLE RIVER ROAD OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVROHOM T (EXECUTIVE VICE PRESIDENT)
(323) 928-9445
Entity
Organization
Contact information
Practice address
12-15 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5808
(323) 928-9445
Mailing address
9526 W PICO BLVD, LOS ANGELES, CA 90035-1202
(323) 928-9445
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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