# FRONTIER SNF OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frontier Rehabilitation & Extended Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801500079
- **Authorized official:** YITZCHOK YENOWITZ (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (323) 333-0910

## Contact information

- **Practice address:** 1500 3RD AVE, LONGVIEW, WA 98632-3229
- **Practice address phone:** (360) 423-8800
- **Mailing address:** 1777 AVENUE OF THE STATES STE 102, LAKEWOOD, NJ 08701-4779
- **Mailing address phone:** (732) 366-8300
- **Mailing address fax:** (732) 523-5312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 227900000X | Registered Respiratory Therapist | — | NULL | — |
| 227900000X | Registered Respiratory Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2023
- **Last updated:** 09/05/2024
