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Organization
GARDENDALE SNF LLC
Active
Organization
GARDENDALE SNF LLC
Active
Other names
Gardendale Rehabilitation & Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ZEVI KOHN (CFO)
(917) 370-9063
Entity
Organization
Contact information
Practice address
1521 E RUSK ST, JACKSONVILLE, TX 75766-5505
(903) 586-3626
Mailing address
2225 E RANDOL MILL RD, STE630, 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
10/19/2009
Last updated
10/19/2009
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