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Organization
PALMYRA TN OPCO LLC
Active
Organization
PALMYRA TN OPCO LLC
Active
Other names
Palmyra Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERSKOWITZ (CEO)
(212) 444-1991
Entity
Organization
Contact information
Practice address
2727 PALMYRA RD, PALMYRA, TN 37142
(931) 326-5252
Mailing address
2071 FLATBUSH AVE STE 12, BROOKLYN, NY 11234-4340
(212) 390-1054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
06/20/2018
Last updated
02/07/2023
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