1E
1711 EAST BROAD STREET OPCO LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
HAZLETON, PA
Licensed since
2024
Rate
—
Federal identifiers
NPI registry number1356159206
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameTIFFANY HOBACK
TitleMANAGER
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