Basic Information
| Provider Information | |||||||||
| NPI: | 1831784479 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ABINGTON MANOR OPCO LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 EDELLA RD | ||||||||
| Address2: | |||||||||
| City: | SOUTH ABINGTON TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 184111628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705861002 | ||||||||
| FaxNumber: | 5705869244 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 EDELLA RD | ||||||||
| Address2: | |||||||||
| City: | SOUTH ABINGTON TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 184111628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705861002 | ||||||||
| FaxNumber: | 5705869244 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2021 | ||||||||
| LastUpdateDate: | 03/05/2021 | ||||||||
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| AuthorizedOfficialLastName: | ROSENZWEIG | ||||||||
| AuthorizedOfficialFirstName: | AVITAL | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUTHORIZED MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 7175434401 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.