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Organization

EMBASSY SNF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZEVI KOHN (CFO)
(917) 370-9063
Entity
Organization

Contact information

Practice address
921 E 31ST ST, SUITE 101, BROOKLYN, NY 11210-3831
(917) 370-9063
Mailing address
2 BEAUMONT AVE, BROCKTON, MA 02302-3302
(508) 588-8550

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
MA

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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