Organization
WEDGEWOOD SNF LLC
Active
Other names
Wedgewood Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
ZEVI KOHN (CFO)
(718) 412-3522
Entity
Organization
Contact information
Practice address
6621 DAN DANCIGER RD, FORT WORTH, TX 76133-4905
(817) 292-6330
Mailing address
2225 E RANDOL MILL RD, SUITE 630, ARLINGTON, TX 76011-6315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
332BN1400X
Nursing Facility Supplies (DME)
—
TX
Other
Enumeration date
09/30/2009
Last updated
10/21/2009
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