# HIGHLAND SNF OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Highland Ridge Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679034078
- **Authorized official:** SHIMON IDELS (COO)
- **Authorized official phone:** (917) 565-7391

## Contact information

- **Practice address:** 5872 HANKS AVE, DUBLIN, VA 24084-2833
- **Practice address phone:** (540) 674-4193
- **Mailing address:** 7523 MAIN ST \# 39, FLUSHING, NY 11367-7652

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2019
- **Last updated:** 03/27/2019