Organization
COPPERAS HOLLOW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF MEYSTEL (MANAGER)
(847) 673-6767
Entity
Organization
Contact information
Practice address
345 COUNTRY CLUB DR, CALDWELL, TX 77836-2328
(979) 567-4300
Mailing address
8131 MONTICELLO AVE, SKOKIE, IL 60076-3325
(847) 673-6767
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
11/06/2012
Last updated
07/31/2013
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