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NPI Code Detail

MEDICARE: WASHINGTON OPERATING LLC

MEDICARE: WASHINGTON OPERATING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1487177473
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASHINGTON OPERATING LLC
Provider Business Mailing Address
First Line : 199 COMMUNITY DR
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-5502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 36 OLD HICKORY RIDGE RD
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-8613
Country : US
Telephone Number : 724-228-5010
Fax Number :
Authorized Official
Title or Position : AR
Name : YOSEF GERSON
Credential :
Telephone Number : 516-592-3604
Provider Enumeration Date : 07/20/2017
Last Update Date : 08/11/2017

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