# CROCKETT SNF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Care Center of Crockett
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437595824
- **Authorized official:** ZEVI KOHN (CFO)
- **Authorized official phone:** (718) 338-2999

## Contact information

- **Practice address:** 1150 E LOOP 304, CROCKETT, TX 75835-1810
- **Practice address phone:** (936) 544-2051
- **Mailing address:** 2071 FLATBUSH AVE, SUITE 22, BROOKLYN, NY 11234-4340
- **Mailing address phone:** (718) 338-2999

## Taxonomy

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

## Other

- **Enumeration date:** 05/13/2013
- **Last updated:** 05/28/2013