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NPI 1891642831

NPI 1891642831 : 600 PAOLI POINT DRIVE OPCO, LLC : PAOLI, PA

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General NPI Number Information
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    NPI Number           |    1891642831
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    Entity Type          |    Organization 
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    Legal Business Name  |    600 PAOLI POINT DRIVE OPCO, LLC 
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Dates
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    Enumeration Date     |    03/10/2026
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    Last Update Date     |    03/10/2026
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Provider Practice Location Address
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    Address Line         |    600 PAOLI POINTE DR 
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    City                 |    PAOLI
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    State                |    PA
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    Zip                  |    19301-2104
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    Country              |    US
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    Telephone            |    323-928-9445
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9526 W PICO BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90035-1202
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE VICE PRESIDENT
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    Name                 |     AVROHOM  TRESS 
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    Credential           |    
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    Telephone            |    323-928-9445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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