2021 Westgate Drive Opco LLC
Skilled Nursing Facility in Bethlehem, PA. Organization (NPI-2).
NPI number1699588996
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1699588996
- Entity type
- Organization (NPI-2)
- Legal business name
- 2021 Westgate Drive Opco LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 30, 2025
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Altira At Bethlehem South (Doing Business As)
Practice location
2021 Westgate DrBethlehem, PA 18017-7412
Phone 610-861-0100
Mailing address
2021 Westgate DrBethlehem, PA 18017-7412
Phone 610-861-0100
Authorized official
Yissochor Komin
Manager Of Sole Member, Opa Opco PA
9085108029
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