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Organization
JELLICO TN OPCO LLC
Active
Organization
JELLICO TN OPCO LLC
Active
Other names
Beech Tree Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERSKOWITZ (CEO)
(212) 444-1991
Entity
Organization
Contact information
Practice address
240 HOSPITAL LN, JELLICO, TN 37762-4401
(423) 784-6626
Mailing address
2071 FLATBUSH AVE STE 12, BROOKLYN, NY 11234-4340
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
02/18/2019
Last updated
02/07/2023
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