# MASON MESQUITE OP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edgewood Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619238425
- **Authorized official:** M. CRAIG KELLY (SOLE MEMBER)
- **Authorized official phone:** (469) 341-2720

## Contact information

- **Practice address:** 1101 WINDBELL DRIVE, MESQUITE, TX 75149
- **Practice address phone:** (469) 341-2720
- **Mailing address:** 4949 WESTGROVE DR, SUITE 200, DALLAS, TX 75248-1923
- **Mailing address phone:** (469) 341-2720

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 06/07/2012