Organization · Type 2 NPI

2050 Trevorton Road Opco LLC

Skilled Nursing Facility · Coal Township, PA

NPI number 1114641776 Active

Practice location

2050 Trevorton Rd
Coal Township, PA 17866-9405

Call (570) 644-4400 Map

Mailing address

1105 E County Line Rd Ste 201
Lakewood, NJ 08701-2122

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1114641776

2050 Trevorton Road Opco LLC's National Provider Identifier is 1114641776, issued on Sep 28, 2022. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Coal Township, PA. The record was last updated on Aug 7, 2025.