Organization
EDGWOOD MI OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTI PRUZANSKY (AR)
(732) 330-2157
Entity
Organization
Contact information
Practice address
55378 WILBUR RD, THREE RIVERS, MI 49093-8815
(732) 330-2157
Mailing address
175 ROUTE 70 STE 207, TOMS RIVER, NJ 08755-0936
(732) 330-2157
(732) 330-2157
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
12/10/2025
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