Organization
HEARTWOOD OPERATOR LLC
Active
Other names
Heartwood Extended Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHOK YENOWITZ (MANAGER)
(347) 693-4239
Entity
Organization
Contact information
Practice address
1649 E 72ND ST, TACOMA, WA 98404-5402
(253) 472-9027
Mailing address
456 CHESTNUT ST UNIT 303, LAKEWOOD, NJ 08701-6124
(347) 693-4239
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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