NPI 1114641776
2050 Trevorton Road Opco LLC
Practice location
- Address
- 2050 Trevorton Rd, Coal Township, PA 17866-9405
- Phone
- (570) 644-4400
- Mailing address
- 1105 E County Line Rd STE 201, Lakewood, NJ 08701-2122
Authorised official
- Name
- Blimi Aviv
- Title
- Director of Ar
- Phone
- (973) 285-2893
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1114641776
- Entity type
- Organization
- NPI issued
- 28 Sep 2022
- Record last updated
- 7 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.