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Organization
PRAIRIE HOUSE SNF LLC
Active
Organization
PRAIRIE HOUSE SNF LLC
Active
Other names
Prairie House Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
ZEVI KOHN (CFO)
(917) 370-9063
Entity
Organization
Contact information
Practice address
1301 MESA DR, PLAINVIEW, TX 79072-3905
(806) 293-4855
Mailing address
2225 E RANDOL MILL RD, STE 630, ARLINGTON, TX 76011-6315
(817) 607-7400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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