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Organization
DIVINE REHABILITATION AND NURSING AT LODI LLC
Active
Organization
DIVINE REHABILITATION AND NURSING AT LODI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAK MARKOVITS (MANAGING MEMBER)
(718) 753-0250
Entity
Organization
Contact information
Practice address
700 CLARK ST, LODI, WI 53555-1010
(608) 592-3241
Mailing address
1632 61ST ST, BROOKLYN, NY 11204-2109
(718) 753-0250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
08/28/2023
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