OrganizationActive
2050 Trevorton Road Opco LLC
NPI 1114641776 · Skilled Nursing Facility · Coal Township, PA
Provider details
- NPI number
- 1114641776
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Blimi Aviv, Director of Ar
Practice location
2050 Trevorton Rd
Coal Township, PA 17866-9405
Phone: (570) 644-4400
Mailing address
1105 E County Line Rd Ste 201
Lakewood, NJ 08701-2122
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.