Organization
SRZ OP ROLLA LLC
Active
Parent organization
SRZ OP HOLDINGS LLC
Other names
Rolla Health & Rehabilitation Suites
Organization subpart
Yes
Provider details
NPI number
Legal business name
SRZ OP HOLDINGS LLC
Authorized official
SAMUEL GOLDNER (AUTHORIZED PERSON/OFFICIAL)
(347) 677-0448
Entity
Organization
Contact information
Practice address
1200 MCCUTCHEN RD, ROLLA, MO 65401-2615
(573) 364-2311
Mailing address
22 HERRICK DR, LAWRENCE, NY 11559-1528
(929) 928-0307
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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