Organization
MOUNTAIN HOME SNF OPCO LLC
Active
Other names
Lake Forest Senior Living at Mountain Home
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MANDELBAUM CPA (CFO)
(718) 570-6018
Entity
Organization
Contact information
Practice address
300 GOOD SAMARITAN DR, MOUNTAIN HOME, AR 72653-5813
(870) 706-6525
Mailing address
180 SYLVAN AVE STE 202, ENGLEWOOD CLIFFS, NJ 07632-2512
(718) 570-6018
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
09/24/2024
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