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Organization
MASON MESQUITE OP, LLC
Active
Organization
MASON MESQUITE OP, LLC
Active
Other names
Edgewood Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
M. CRAIG KELLY (SOLE MEMBER)
(469) 341-2720
Entity
Organization
Contact information
Practice address
1101 WINDBELL DRIVE, MESQUITE, TX 75149
(469) 341-2720
Mailing address
4949 WESTGROVE DR, SUITE 200, DALLAS, TX 75248-1923
(469) 341-2720
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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