Organization
MASON MESQUITE OP, LLC
Active
Other names
Edgewood Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
M. CRAIG KELLY (SOLE MEMBER)
(469) 341-2720
Entity
Organization
Contact information
Practice address
1101 WINDBELL DRIVE, MESQUITE, TX 75149
(469) 341-2720
Mailing address
4949 WESTGROVE DR, SUITE 200, DALLAS, TX 75248-1923
(469) 341-2720
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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