# MARSHALL SNF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marshall Manor West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619208469
- **Authorized official:** MENDY SHAPIRO (MEMBER)
- **Authorized official phone:** (732) 961-9000

## Contact information

- **Practice address:** 207 W MERRITT ST, MARSHALL, TX 75670-6240
- **Practice address phone:** (903) 938-3793
- **Practice address fax:** (718) 865-0662
- **Mailing address:** 410 MONMOUTH AVE, SUITE 130, LAKEWOOD, NJ 08701-3711

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2010
- **Last updated:** 12/01/2016