Organization
SRZ OP ABC LLC
Active
Parent organization
SRZ OP HOLDINGS LLC
Other names
ABC Health Care
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
307 E SOUTH ST, HARRISONVILLE, MO 64701-3241
(816) 380-6352
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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