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Contact Information

23 CEDAR RIDGE ROAD OPCO, LLC
23 CEDAR RIDGE DR
SKOWHEGAN, ME04976-4160
 Phone: 323-928-9445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for 23 CEDAR RIDGE ROAD OPCO, LLC

NPI Number 1861348922
LBN Legal business name 23 CEDAR RIDGE ROAD OPCO, LLC
Authorized official AVROHOM TRESS - (EXECUTIVE VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2026
Last updated 03/10/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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