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Organization
MINEOLA NURSING AND REHAB CENTER
Active
Organization
MINEOLA NURSING AND REHAB CENTER
Active
Other names
Mineola Healthcare Residence
Organization subpart
No
Provider details
NPI number
Authorized official
JOE NEUMAN (CHIEF EXECUTIVE OFFICER)
(214) 396-3462
Entity
Organization
Contact information
Practice address
716 MIMOSA DR, MINEOLA, TX 75773-2612
(903) 569-5366
Mailing address
111 CLIFTON AVE STE 17, LAKEWOOD, NJ 08701-3342
(214) 396-3462
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026604
—
TX
Enumeration date
12/03/2014
Last updated
01/23/2017
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