OrganizationActive
6012 Jefferson Boulevard Opco LLC
NPI 1952024176 · Skilled Nursing Facility · Frederick, MD
Provider details
- NPI number
- 1952024176
- 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
- 2022-09-22
- Last updated
- 2022-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.