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Organization
MINEOLA HEALTHCARE LLC
Active
Organization
MINEOLA HEALTHCARE LLC
Active
Other names
Community Care Center Of Mineola
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MENDY SHAPIRO (MANAGER)
(903) 569-5366
Entity
Organization
Contact information
Practice address
716 MIMOSA DR, MINEOLA, TX 75773-2612
(903) 569-5366
Mailing address
410 MONMOUTH AVE, SUITE 130, LAKEWOOD, NJ 08701-3711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5037
TX
Other
Enumeration date
01/28/2009
Last updated
12/01/2016
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