NPI 1134820541
Main Street Operating LLC
Practice location
- Address
- 2010 Main St, Van Buren, AR 72956-4957
- Phone
- (479) 474-6885
- Mailing address
- 1999 Cedarbridge Ave STE 3b, Lakewood, NJ 08701-6915
Authorised official
- Name
- Israel Ganz
- Title
- Director
- Phone
- (732) 366-5705
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1134820541
- Entity type
- Organization
- NPI issued
- 13 Mar 2023
- Record last updated
- 16 Nov 2023
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.