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Organization

520 KERR AVENUE OPCO LLC

Active
Other names
Caroline Nursing and Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
YECHIEL HIRTH (CEO)
(732) 744-4611
Entity
Organization

Contact information

Practice address
520 KERR AVE, DENTON, MD 21629-1343
(410) 479-2130
Mailing address
14C 53RD ST, BROOKLYN, NY 11232-2644
(877) 567-0402

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
313M00000X
Nursing Facility/Intermediate Care Facility
314000000X
Skilled Nursing Facility
Primary
385H00000X
Respite Care

Other

Enumeration date
05/10/2022
Last updated
08/14/2023
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