# MINEOLA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Care Center Of Mineola
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942448931
- **Authorized official:** MR. MENDY SHAPIRO (MANAGER)
- **Authorized official phone:** (903) 569-5366

## Contact information

- **Practice address:** 716 MIMOSA DR, MINEOLA, TX 75773-2612
- **Practice address phone:** (903) 569-5366
- **Mailing address:** 410 MONMOUTH AVE, SUITE 130, LAKEWOOD, NJ 08701-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5037 | TX | Yes |

## Other

- **Enumeration date:** 01/28/2009
- **Last updated:** 12/01/2016