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NPI Code Detail

MEDICARE: 3730 W OREM DR OPCO LLC

MEDICARE: 3730 W OREM DR OPCO 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 : 1902794795
Entity Type Code : Organization
Provider Name (Legal Business Name) : 3730 W OREM DR OPCO LLC
Provider Business Mailing Address
First Line : 3730 W OREM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77045-4426
Country : US
Telephone Number : 832-799-6484
Fax Number : 832-201-6852
Provider Business Practice Location Address
First Line : 3730 W OREM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77045-4426
Country : US
Telephone Number : 832-799-6484
Fax Number : 832-201-6852
Authorized Official
Title or Position : MANAGER
Name : NOCHUM FREUND
Credential :
Telephone Number : 732-719-5098
Provider Enumeration Date : 06/27/2025
Last Update Date : 06/27/2025

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Directions to “3730 W OREM DR OPCO LLC ” Practice Location

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