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1952024176
6012 JEFFERSON BOULEVARD OPCO LLC
FREDERICK, MD
NPI
1952024176
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Entity Type
Organization
Authorized Contact
SAM STERN
CFO
877-567-0402
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
6012 JEFFERSON BOULEVARD OPCO LLC
6012 JEFFERSON BLVD
FREDERICK, MD 21703-6953
Phone number: 732-358-6883
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Mailing Address
6012 JEFFERSON BOULEVARD OPCO LLC
14C 53RD ST
BROOKLYN, NY 11232-2644
Phone number: 877-567-0402
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