Organization
PALMYRA TN OPCO LLC
Active
Other names
Palmyra Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERSKOWITZ (CEO)
(212) 444-1991
Entity
Organization
Contact information
Practice address
2727 PALMYRA RD, PALMYRA, TN 37142
(931) 326-5252
Mailing address
2071 FLATBUSH AVE STE 12, BROOKLYN, NY 11234-4340
(212) 390-1054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
06/20/2018
Last updated
02/07/2023
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