Organization
DIVINE REHABILITATION AND NURSING AT LODI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAK MARKOVITS (MANAGING MEMBER)
(718) 753-0250
Entity
Organization
Contact information
Practice address
700 CLARK ST, LODI, WI 53555-1010
(608) 592-3241
Mailing address
1632 61ST ST, BROOKLYN, NY 11204-2109
(718) 753-0250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
08/28/2023
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