Organization
SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC
Active
Other names
Shepherd of the Valley Rehabilitation and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHOK YENOWITZ (AUTHORIZED REPRESENTATIVE)
(323) 333-0910
Entity
Organization
Contact information
Practice address
60 MAGNOLIA ST, CASPER, WY 82604-4035
(307) 234-9381
Mailing address
1777 AVENUE OF THE STATES STE 102, LAKEWOOD, NJ 08701-4779
(732) 366-8300
(732) 523-5312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
09/05/2024
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