Organization
MIZPAH HEALTHCARE GROUP LLC
Active
Parent organization
SABER HEALTHCARE HOLDINGS, LLC
Other names
Dockside Health & Rehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SABER HEALTHCARE HOLDINGS, LLC
Authorized official
WILLIAM I WEISBERG (PRESIDENT)
(216) 292-5706
Entity
Organization
Contact information
Practice address
74 MIZPAH ROAD, LOCUST HILL, VA 23092
(804) 758-5260
(804) 758-0953
Mailing address
23700 COMMERCE PARK, BEACHWOOD, OH 44122-5827
(216) 292-5706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2632
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497135727
—
VA
Enumeration date
06/02/2015
Last updated
01/10/2022
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