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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

1711 EAST BROAD STREET OPCO LLC

Active Organization

1711 EAST BROAD STREET OPCO LLC is a Skilled Nursing Facility organization located in HAZLETON, Pennsylvania. NPI 1356159206 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · HAZLETON, PA

Registration Details

NPI Number
1356159206
Provider Type
Organization
NPI Issued
Dec 24, 2024 (1.4509404713623 yrs)
Last Updated
Mar 10, 2025

Practice Information

Address
1711 E BROAD ST
HAZLETON, PA, 182015691
Browse PA providers · Browse ZIP 18201
Phone
5704535100
Fax
5704535138
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.