# MONUMENT HEALTHCARE AND NURSING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346104114
- **Authorized official:** YEDIDYA KAGANOFF (AUTHORIZED SIGNATORY)
- **Authorized official phone:** (516) 504-9797

## Contact information

- **Practice address:** 111 W 36TH ST, SCOTTSBLUFF, NE 69361-4636
- **Practice address phone:** (308) 635-2019
- **Mailing address:** 325 PEMBROKE RD, BALA CYNWYD, PA 19004-2826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2025
- **Last updated:** 12/23/2025
