Organization
MOUNTAIN HOME AL OPCO LLC
Active
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
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
09/24/2024
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