Organization
JELLICO TN OPCO LLC
Active
Other names
Beech Tree Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERSKOWITZ (CEO)
(212) 444-1991
Entity
Organization
Contact information
Practice address
240 HOSPITAL LN, JELLICO, TN 37762-4401
(423) 784-6626
Mailing address
2071 FLATBUSH AVE STE 12, BROOKLYN, NY 11234-4340
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/07/2023
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