6012 JEFFERSON BOULEVARD OPCO LLC

FREDERICK, MD
NPI1952024176
Entity TypeOrganization
Authorized ContactSAM STERN
CFO
877-567-0402
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2022-09-22
Last Update Date2022-09-22
Business Address
6012 JEFFERSON BOULEVARD OPCO LLC
6012 JEFFERSON BLVD
FREDERICK, MD 21703-6953
Phone number: 732-358-6883
Mailing Address
6012 JEFFERSON BOULEVARD OPCO LLC
14C 53RD ST
BROOKLYN, NY 11232-2644
Phone number: 877-567-0402