Healthcare Provider Details

I. General information

NPI: 1942726856
Provider Name (Legal Business Name): WASHINGTON OPERATING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 08/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 OLD HICKORY RIDGE RD
WASHINGTON PA
15301-8613
US

IV. Provider business mailing address

199 COMMUNITY DR
GREAT NECK NY
11021-5502
US

V. Phone/Fax

Practice location:
  • Phone: 724-228-5010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YOSEF GERSON
Title or Position: AR
Credential:
Phone: 516-592-3604