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✓ OIG exclusion check passed — not excluded from federal healthcare programs
9T

900 TUCK STREET OPCO LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED
Location
LEBANON, PA
Licensed since
2025
Rate
Federal identifiers
NPI registry number1164235479
Agency details
Parent orgOPA OPCO PARENT LLC
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameYISSOCHOR KOMIN
TitleMANAGER OF SOLE MEMBER, OPA OPCO PA
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Source: NPI Registry · Last refreshed June 24, 2026

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