Provider Demographics
NPI:1275327041
Name:WHIGHAM OPCO LLC
Entity type:Organization
Organization Name:WHIGHAM OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DOVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-606-2773
Mailing Address - Street 1:433 N MCGRIFF ST
Mailing Address - Street 2:
Mailing Address - City:WHIGHAM
Mailing Address - State:GA
Mailing Address - Zip Code:39897-2146
Mailing Address - Country:US
Mailing Address - Phone:229-307-2004
Mailing Address - Fax:229-307-2005
Practice Address - Street 1:433 N MCGRIFF ST
Practice Address - Street 2:
Practice Address - City:WHIGHAM
Practice Address - State:GA
Practice Address - Zip Code:39897-2146
Practice Address - Country:US
Practice Address - Phone:229-307-2004
Practice Address - Fax:229-307-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility