OrganizationActive
34 Wildwood Ave Opco LLC
NPI 1750168704 · Skilled Nursing Facility · Madison, CT
Provider details
- NPI number
- 1750168704
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Sam Stern, Cfo
Mailing address
14c 53rd St
Brooklyn, NY 11232-2644
Registry dates
- Enumerated
- 2023-09-13
- Last updated
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.