Organization
PEARL VALLEY REHABILITATION AND NURSING AT LAKE PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAAKOV DORFMAN (OWNER (GREATER THAN 5 PERCENT))
(551) 206-2647
Entity
Organization
Contact information
Practice address
1304 S MARKET ST, LAKE PARK, IA 51347-1060
(712) 832-3691
Mailing address
1576 E 27TH ST, BROOKLYN, NY 11229-1710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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